Mark J Park (NPI# 1073517801, PAC ID# 7810889300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1073517801 |
| PAC ID by PECOS | 7810889300 |
| Professional Enrollment ID | I20040527000824 |
| Full Name | Mark J Park |
| Address |
919 13th Ave Delano CA 93215-2202 |
| Phone Number | 6617253795 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 919 13th Ave, Delano, CA 93215-2202 | 6617253795 |
| Street Address |
919 13TH AVE |
| City | DELANO |
| State | CA |
| Zip | 93215-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ming Morris | Nurse Practitioner | Kern Nephrology Medical Group | 1980 Cecil Ave, Delano, CA 93215-1513 |
| Don Victor A Zapanta | Family Medicine | 1619 Cecil Ave, Suite B, Delano, CA 93215-1515 | |
| Mitchell L Wright | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Alisa Suburu | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Andris Lorenzo Veiss | Physical Therapy | Terrio Therapy-fitness Inc | 1430 High St, Delano, CA 93215-1715 |
| Larry M Dedonato | Optometry | 1429 Main St, Delano, CA 93215-1726 | |
| Doreen Y Tadokoro | Obstetrics/gynecology | Omni Family Health | 1215 Jefferson St, Delano, CA 93215-2203 |
| Juan M Cabrera | Internal Medicine | Omni Family Health | 1215 Jefferson St, Delano, CA 93215-2203 |
| Anuj Bansal | Internal Medicine | Radhey S. Bansal, Md. Inc | 1230 Jefferson St, Delano, CA 93215-2204 |
| Anna L Mendoza | Family Medicine | Radhey S. Bansal, Md. Inc | 1230 Jefferson St, Delano, CA 93215-2204 |
| Find all physicians in zip 93215 | |||
| City | DELANO |
| Zip Code | 93215 |
| Specialty | OPTOMETRY |
| City + Specialty | DELANO + OPTOMETRY |
Please comment or provide details below to improve the information on Mark J Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.