PETER PARK (NPI# 1780808105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780808105 |
| Entity Type | Individual |
| Full Name | PETER PARK |
| Credential | O.D. |
| Practice Address |
5198 Boulder Hwy Las Vegas NV 89122 |
| Mailing Address |
2188 Orchard Mist St Las Vegas NV 89135 |
| Practice Telephone | 7024342020 |
| Mailing Telephone | 7024342020 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 422 | NV | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685177 | Peter Sungil Park | Obstetrics & Gynecology | 31874 Summer Grape Ct, Winchester, CA 92596-8633 | 2018-10-16 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1831296185 | Peter Joonsun Park | Emergency Medicine | 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 | 2006-09-20 |
| 1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
| 1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
| 1104825033 | Peter Sang-wook Park | Podiatrist | 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 | 2005-07-21 |
| 1154937241 | Peter S Park | Student in an Organized Health Care Education/Training Program | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2020-09-23 |
| 1437762275 | Peter Park | Pharmacist | 1713 W Springfield Ave, Champaign, IL 61821-3011 | 2020-08-30 |
| 1831650043 | Peter K Park | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-03-29 |
| 1508392176 | Peter Park | Social Worker | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2017-05-02 |
| Street Address |
5198 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790840692 | Wal-mart Stores, Inc. | Technician/Technologist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2006-12-22 |
| 1811597396 | Adebola Durosawo | Pharmacist | 5198 Boulder Hwy, Las Vegas, NV 89122-6002 | 2020-10-26 |
| 1235280215 | Kerry's Medical Inc | Durable Medical Equipment & Medical Supplies | 5198 Boulder Hwy, Suite #5, Las Vegas, NV 89122-6002 | 2007-01-16 |
| 1427113497 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5198 Boulder Hwy, Las Vegas, NV 89122-6002 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425523 | Dezirae Wilson | Technician | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | 2020-04-14 |
| 1407312366 | More Than Words LLC | Speech-Language Pathologist | 3430 Blue Ash Lane, Las Vegas, NV 89122 | 2019-02-15 |
| 1588130751 | Leslie Totress | Case Manager/Care Coordinator | 6368 Foxlyn Ave, Las Vegas, NV 89122 | 2018-10-15 |
| 1780100511 | Easy Living Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5069 Sun Valley Dr, Las Vegas, NV 89122 | 2017-08-14 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1972032233 | Marilan Sanchez | Rehabilitation Practitioner | 5210 Emelita St, Las Vegas, NV 89122 | 2017-06-08 |
| 1023479599 | Tia Collins | Social Worker | 5412 Boulder Highway, Las Vegas, NV 89122 | 2016-03-11 |
| 1548673056 | Saba Chatoor | Counselor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | 2014-06-03 |
| 1811328685 | Derrell Williams | Counselor | 3326 Wasatch Cedars St., Las Vegas, NV 89122 | 2013-12-04 |
| 1225466709 | The Lighthouse LLC | Community/Behavioral Health | 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 | 2013-10-22 |
| Find all providers in zip 89122 | ||||
| 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 |
|---|---|---|---|---|
| 1558972331 | Shirlene Jade Luu | Optometrist | 4343 N Rancho Dr Ste 116, Las Vegas, NV 89130-3421 | 2020-08-13 |
| 1831709104 | Jenny Wong | Optometrist | 9260 W Sunset Rd Ste 209, Las Vegas, NV 89148-4903 | 2020-08-03 |
| 1245853407 | Dana Vo Od, Ltd | Optometrist | 3900 Spring Mountain Rd Ste 1, Las Vegas, NV 89102-8650 | 2020-05-22 |
| 1841838331 | Vision Consultants | Optometrist | 660 S Martin Luther King Blvd, Las Vegas, NV 89106-4413 | 2019-12-15 |
| 1073156824 | Beena Mangalbhai Patel | Optometrist | 9484 W Flamingo Rd Ste 280, Las Vegas, NV 89147-5746 | 2019-10-24 |
| 1437706934 | Sirintr/suk Pllc | Optometrist | 6085 S Fort Apache Rd Ste 120-130, Las Vegas, NV 89148-5545 | 2019-08-20 |
| 1922668102 | Brian Bijan Nasser | Optometrist | 230 N Nellis Blvd Ste B, Las Vegas, NV 89110-6003 | 2019-06-19 |
| 1477113207 | Linda C Davis | Optometrist | 4840 E Bonanza Rd Ste 6, Las Vegas, NV 89110-3453 | 2019-06-14 |
| 1346805157 | Civia Mccaffrey O.d. P.C. | Optometrist | 900 S Pavilion Center Dr Ste 140, Las Vegas, NV 89144-4583 | 2019-05-07 |
| 1356800932 | Nevada Optical and Eye Care | Optometrist | 840 S Rancho Dr Ste 1, Las Vegas, NV 89106-3803 | 2019-03-13 |
| Find all providers in LAS VEGAS | ||||
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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.