DR. DAVID HWANTAE PARK (NPI# 1780762245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780762245 |
| Entity Type | Individual |
| Full Name | DR. DAVID HWANTAE PARK |
| Credential | O.D. |
| Practice Address |
7750 N Macarthur Blvd Ste 180 Irving TX 75063-7524 |
| Mailing Address |
9100 Bottlebrush Ln Irving TX 75063-4227 |
| Practice Telephone | 9724010008 |
| Practice Fax Number | 9724011630 |
| Mailing Telephone | 9724010008 |
| Mailing Fax Number | 9724011630 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6049TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | MP0787361 | 01 |
| TX | DPS REGISTRATION | 60122914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1447879648 | David Jaehyun Park | Student in an Organized Health Care Education/Training Program | 193 Oak St Apt 202e, Newton Upper Falls, MA 02464-1449 | 2020-04-09 |
| 1093363574 | David Mansug Park | Acupuncturist | 5200 Newberry Rd Ste D8, Gainesville, FL 32607-2177 | 2019-08-28 |
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1265686448 | David H Park | Dentist | 3530 Dartmouth Ln, Rowland Heights, CA 91748-5135 | 2008-11-14 |
| 1578763413 | David Kyung-il Park | Emergency Medicine | 2500 Merced Sreet, San Leandro, CA 94577-4201 | 2007-07-19 |
| 1942410501 | David S Park | Dentist | 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670-2152 | 2007-05-23 |
| 1942315874 | David Daegeun Park | Family Medicine | 119 S Fuquay Avenue, Fuquay-varina, NC 27526-2210 | 2006-08-20 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| 1093371056 | David Hojun Park | Dentist | 3030 Explorer Dr, Sacramento, CA 95827-2728 | 2019-05-15 |
| Street Address |
7750 N MACARTHUR BLVD STE 180 |
| City | IRVING |
| State | TX |
| Zip Code | 75063-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785562 | Juan Manuel Mendez | Internal Medicine | 7750 N Macarthur Blvd, Suite 120-345, Irving, TX 75063-7514 | 2012-10-24 |
| 1952598393 | Eyecare 20/20, P.C. | Optometrist | 7750 N Macarthur Blvd, Suite 180, Irving, TX 75063-7524 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366087314 | Med Southwest, Pllc | Optometrist | 7457 Las Colinas Blvd # 100, Irving, TX 75063-7561 | 2019-11-14 |
| 1912550815 | Mqh Eye Care Pllc | Optometrist | 440 W Lyndon B Johnson Fwy Ste 415, Irving, TX 75063-3839 | 2019-07-19 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| 1487175667 | Reena Patel | Optometrist | 1135 Kinwest Pkwy Ste 100, Irving, TX 75063-3505 | 2017-06-28 |
| 1407394067 | Anny Nguyen O.d. Pllc | Optometrist | 7805 N Macarthur Blvd Ste 101, Irving, TX 75063-7531 | 2017-02-03 |
| 1528514866 | Anh T. Tran & Associates, Pllc | Optometrist | 1635 Market Place Blvd., Irving, TX 75063 | 2016-08-28 |
| 1003275165 | Ricardo Rodriguez | Optometrist | 5225 Las Colinas Blvd Apt 4060, Irving, TX 75039-4581 | 2016-02-17 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.