DONG-WOUK PARK (NPI# 1548600372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548600372 |
| Entity Type | Individual |
| Full Name | DONG-WOUK PARK |
| Other Name | DR. DONG-WOUK PARK |
| Credential | MD |
| Practice Address |
600 Triangle Shopping Ctr Ste 400 Longview WA 98632-4677 |
| Practice Telephone | 3604230220 |
| Mailing Telephone | 3604230220 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 35.136294 | OH | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 67129 | WI | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD.61032551 | WA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD197648 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2055 Exchange St Bldg Suite230, Astoria, OR 971033419 | 5033383803 | |
| 16701 Se Mcgillivray Blvd Bldg Suite170, Vancouver, WA 986833485 | 3602607132 |
| Street Address |
600 TRIANGLE SHOPPING CTR STE 400 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-4677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836357 | Summit Eye Consultants Pllc | Ophthalmology | 945 Hildebrand Ln Ne Ste 235, Bainbridge Island, WA 98110-2877 | 2018-06-22 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1669590782 | Tony H. Huynh | Ophthalmology | 6100 219th St Sw Ste 280, Mountlake Terrace, WA 98043-2222 | 2007-03-27 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1528303849 | Retina Institute, Pllc | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055-6238 | 2012-11-28 |
| 1992040240 | Retina Specialists Northwest, Pllc | Ophthalmology | 33915 1st Way S, Ste 120, Federal Way, WA 98003-4551 | 2012-11-27 |
| 1841568946 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-12-05 |
| 1386669562 | David N Drucker | Ophthalmology | 1530 N 115th St, Suite 105, Seattle, WA 98133-8421 | 2006-07-12 |
| 1033141007 | Todd Evan Schneiderman | Ophthalmology | 9800 Levin Rd Nw, Suite 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| 1942232913 | David J Spinak | Ophthalmology | 9800 Levin Rd Nw, Ste 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DONG-WOUK 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.