DR. KRISTINE RACHAEL PARK (NPI# 1821650383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821650383 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE RACHAEL PARK |
| Credential | OD |
| Practice Address |
320 Superior Ave Ste 390 Newport Beach CA 92663 |
| Mailing Address |
320 Superior Ave Ste 390 Newport Beach CA 92663-2793 |
| Practice Telephone | 9496314780 |
| Mailing Telephone | 9496314780 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT34525 | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3350 La Jolla Village Dr # 112g, San Diego, CA 921610002 | 8585528585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355135 | Kristine Park | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109-2820 | 2020-10-30 |
| 1851920631 | Kristine Jayoung Park | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-03 |
| 1932561933 | Kristine Park | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Ob/gyn, Albany, NY 12208-3412 | 2016-03-28 |
| Street Address |
320 SUPERIOR AVE STE 390 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946244 | Tanya Lau | Optometrist | 320 Superior Ave Ste 390, Newport Beach, CA 92663-2793 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1366054843 | Chari Lou Martinez | Optometrist | 360 San Miguel Dr Ste 307, Newport Beach, CA 92660-7829 | 2020-08-18 |
| 1073139291 | Bonnie Lauren Samuelson | Optometrist | 21161 Newport Coast Dr, Newport Beach, CA 92657-1123 | 2020-06-23 |
| 1275197519 | Annabelle Storch | Optometrist | 421 Seville Ave, Newport Beach, CA 92661-1528 | 2019-04-23 |
| 1689170664 | Lisa Van | Optometrist | 4220 Von Karman Ave Ste 100, Newport Beach, CA 92660-2056 | 2018-03-30 |
| 1871946244 | Tanya Lau | Optometrist | 320 Superior Ave Ste 390, Newport Beach, CA 92663-2793 | 2016-07-20 |
| 1861832180 | Linda Mai Bui | Optometrist | 1063 Newport Center Dr, Newport Beach, CA 92660 | 2013-07-01 |
| 1043552821 | See Inc | Optometrist | 213 Newport Center Dr, Newport Beach, CA 92660-6934 | 2013-03-20 |
| 1205196193 | Lou Roy Elder, O.d., Inc. | Optometrist | 1725 Westcliff Dr, Newport Beach, CA 92660-5529 | 2012-05-24 |
| 1386954071 | Adr Optometric Group | Optometrist | 7886 E Coast Hwy, Newport Beach, CA 92657-2138 | 2010-10-14 |
| 1053549220 | Shruti Pasari | Optometrist | 563 Newport Center Dr, Newport Beach, CA 92660-6937 | 2009-06-26 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.