| Arthur Jinyoung Park, OD | |
|
173 Plaza Dr, Vallejo, CA 94591-3708 | |
| (707) 917-4053 | |
| Not Available |
| Full Name | Arthur Jinyoung Park |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 173 Plaza Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093214561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 33880TLG (California) | Primary |
| Provider Name | Regency Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760135982 PECOS PAC ID: 4486034550 Enrollment ID: O20220707000390 |
| Provider Name | Hansra Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679262158 PECOS PAC ID: 2163881913 Enrollment ID: O20230711003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Arthur Jinyoung Park, OD 1241 Golden Rain Rd Apt 2l, Seal Beach, CA 90740-3810 Ph: (714) 336-7055 | Arthur Jinyoung Park, OD 173 Plaza Dr, Vallejo, CA 94591-3708 Ph: (707) 917-4053 |
Gary Duane Maas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 675 Sereno Dr., Vallejo, CA 94589 Phone: 707-651-2990 Fax: 707-651-2948 | |
Laura E Schrupp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154 | |
Dr. Keith Daniel Kamei, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 Plaza Dr, Vallejo, CA 94591 Phone: 707-552-0602 | |
Dr. Walter Lewis Balding, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2585 Fax: 707-651-2948 | |
Anyika Butterfly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Kaiser Permanente, Vallejo, CA 94589 Phone: 707-651-1085 | |
Mr. Thomas C Cushing, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2852 Redwood Pkwy, Vallejo, CA 94591 Phone: 707-553-8222 Fax: 707-553-1154 |