DR. AMY LEANNE PARK (NPI# 1922333004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922333004 |
| Entity Type | Individual |
| Full Name | DR. AMY LEANNE PARK |
| Other Name | AMY LEANNE PEDERSEN |
| Credential | O.D. |
| Practice Address |
10800 Magnolia Avenue Riverside CA 92505 |
| Mailing Address |
10800 Magnolia Ave Riverside CA 92505-3043 |
| Practice Telephone | 9513534701 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14428TLG | CA | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437456 | Amy Y Park | Family Medicine | 714 31st St, Union City, NJ 07087-2427 | 2020-11-04 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1013404623 | Amy Kangme Park | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2018-04-18 |
| 1174856652 | Amy Park | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2009-09-15 |
| 1831366889 | Amy Marie Park | Obstetrics & Gynecology | 7740 Washington Village Dr, Suite 100, Centerville, OH 45459-4056 | 2008-05-09 |
| 1053328625 | Amy Park | Obstetrics & Gynecology | 106 Irving St Nw, Suite 405 South, Washington, DC 20010-2927 | 2006-08-03 |
| 1306811534 | Amy H Park | Psychologist | 9040 Jackson Ave, Tacoma, WA 98431-2871 | 2006-02-21 |
| Street Address |
10800 MAGNOLIA AVENUE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487741278 | Dale J Timothy | Pharmacist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2006-10-05 |
| 1215216528 | Serjik Abrahamian | Family Medicine | 10800 Magnolia Avenue, Kaiser Permanente - Family Medicine Dept, Riverside, CA 92505 | 2011-08-04 |
| 1558540773 | Felicia Schwab-doyle | Dermatology | 10800 Magnolia Avenue, Riverside, CA 92505 | 2007-10-25 |
| 1417016544 | Mary Lien | Dermatology | 10800 Magnolia Avenue, Riverside, CA 92505 | 2006-12-06 |
| 1649369794 | Jean Ann Rich | Pharmacist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1194203398 | Penn Tran Od, Inc | Optometrist | 1299 University Ave Ste 103, Riverside, CA 92507-7236 | 2018-07-31 |
| 1679020283 | Pritesh Patel | Optometrist | 4030 Madison St, Riverside, CA 92504-2642 | 2016-09-01 |
| 1447644893 | Richard P Bozner Od Inc | Optometrist | 4212 Market St, Riverside, CA 92501-3516 | 2015-03-24 |
| 1770976987 | Retina Institute of California | Optometrist | 6906 Brockton Ave, Ste. 6, Riverside, CA 92506-4090 | 2015-03-12 |
| 1902295132 | Oxygen Optometry, Inc | Optometrist | 2712 Canyon Springs Pkwy, Suite A4, Riverside, CA 92507-0938 | 2015-01-12 |
| 1164837183 | Al Vincent D. Romero, O.d. Inc. | Optometrist | 9496 Magnolia Ave Ste 102, Riverside, CA 92503-3733 | 2014-06-27 |
| 1275808115 | Duong D Nguyen, Inc | Optometrist | 5051 Canyon Crest Dr Ste 102, Riverside, CA 92507-6035 | 2012-03-10 |
| 1750679171 | Jessica Duong | Optometrist | 4294 Riverwalk Pkwy, Suite 204, Riverside, CA 92505-8508 | 2011-07-19 |
| 1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
| 1023248770 | Dr Harold Krajian Od Inc | Optometrist | 9496 Magnolia Ave, 102, Riverside, CA 92503-3733 | 2009-07-15 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on DR. AMY LEANNE PARK.
| 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.