| Jenny Y Park, OD | |
|
30606 Santa Margarita Pkwy Ste A103, Rancho Santa Margarita, CA 92688-4500 | |
| (949) 658-2670 | |
| Not Available |
| Full Name | Jenny Y Park |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 30606 Santa Margarita Pkwy Ste A103, Rancho Santa Margarita, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669624052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010147 (Illinois) | Secondary |
| 152W00000X | Optometrist | 14361 (California) | Primary |
| 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 |
|---|---|
| Jenny Y Park, OD 30606 Santa Margarita Pkwy Ste A103, Rancho Santa Margarita, CA 92688-4500 Ph: (949) 658-2670 | Jenny Y Park, OD 30606 Santa Margarita Pkwy Ste A103, Rancho Santa Margarita, CA 92688-4500 Ph: (949) 658-2670 |
Kathleen M. Andersen, O.d., Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 22312 El Paseo Ste D, Rancho Santa Margarita, CA 92688 Phone: 949-589-6171 Fax: 949-589-0657 | |
Dr. Alexander Matthew Turk, OD Optometrist Medicare: Medicare Enrolled Practice Location: 22312 El Paseo Ste D, Rancho Santa Margarita, CA 92688 Phone: 949-997-3844 | |
Dr. Liza Smith Koepke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30212 Tomas, Suite 170, Rancho Santa Margarita, CA 92688 Phone: 949-589-0900 Fax: 949-589-0767 | |
Alast Eisa, Optometrist Medicare: Medicare Enrolled Practice Location: 30505 Avenida De Las Flores Ste A, Rancho Santa Margarita, CA 92688 Phone: 949-459-1157 | |
Steven D Smith An Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30212 Tomas, Suite 170, Rancho Santa Margarita, CA 92688 Phone: 949-589-0900 | |
Dr. Justin Euperio, Optometrist Medicare: Medicare Enrolled Practice Location: 22751 El Prado Apt 5105, Rancho Santa Margarita, CA 92688 Phone: 949-547-1132 | |
Andrea C. Huyn, Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30602 Santa Margarita Pkwy, Rancho Santa Margarita, CA 92688 Phone: 949-207-5206 |