DR. SY ON PARK-DINGA (NPI# 1336422104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336422104 |
| Entity Type | Individual |
| Full Name | DR. SY ON PARK-DINGA |
| Credential | O.D |
| Practice Address |
101 Boston Ave Bridgeport CT 06610-1648 |
| Practice Telephone | 2033332020 |
| Mailing Telephone | 2033332020 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2012-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 02851 | CT | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | TUV0077621 | NY | Eye and Vision Services Providers |
| Street Address |
101 BOSTON AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| 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 |
|---|---|---|---|---|
| 1942331483 | Doctors Frankel and Hoo, LLC | Optometrist | 2160 Main St, Bridgeport, CT 06606-5312 | 2007-03-08 |
| 1235279381 | Kimberly Wood Stevens | Optometrist | 649 Clinton Ave, Bridgeport, CT 06605-1711 | 2007-02-07 |
| 1477608610 | Alliance Vision Source, P.C. | Optometrist | 921 Main Street, Bridgeport, NE 69336 | 2007-01-25 |
| 1629135678 | John T Maciejewski | Optometrist | 2664 East Main Street, Bridgeport, CT 06610 | 2007-01-02 |
| 1801966775 | Harry M Murray IIi | Optometrist | 107 Doctors Dr, Bridgeport, WV 26330-1720 | 2006-11-08 |
| 1316017262 | John William Barnes II | Optometrist | 107 Doctors Drive, Bridgeport, WV 26330 | 2006-11-08 |
| 1922192061 | Drs. Favede & Associates | Optometrist | 100 Third Street, Bridgeport, OH 43912-1605 | 2006-10-03 |
| 1649373325 | Neil Clifford Rosen | Optometrist | 2664 E Main St, Bridgeport, CT 06610-1422 | 2006-09-07 |
| 1114998317 | Steven Neil Frankel | Optometrist | 192 Fairfield Ave, Bridgeport, CT 06604-4205 | 2006-01-27 |
| 1356321525 | Beth Ann Esposito | Optometrist | 2356 Meadowbrook Mall, Bridgeport, WV 26330-9790 | 2006-01-22 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.