WILLIAM HOWARD PARK (NPI# 1558487462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558487462 |
| Entity Type | Individual |
| Full Name | WILLIAM HOWARD PARK |
| Credential | O.D. |
| Practice Address |
11555 1/2 Potrero Rd Banning CA 92220-6946 |
| Practice Telephone | 8007328805 |
| Mailing Telephone | 8007328805 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13082T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434499 | William K Park | Student in an Organized Health Care Education/Training Program | 5 Twin Ave, Spring Valley, NY 10977-3950 | 2020-07-11 |
| 1750572251 | William Thomas Park | Pharmacist | 101 Cibeque Circle, San Carlos, AZ 85550 | 2007-08-08 |
| 1598837924 | William H Park | Social Worker | 933 First Colonial Rd Ste 202, Virginia Beach, VA 23454-3172 | 2006-11-14 |
| 1174612667 | William Christopher Park | Marriage & Family Therapist | 1430 East Ave Ste 2b, Chico, CA 95926-1629 | 2006-10-12 |
| 1821002288 | William Byung Ho Park | Anesthesiology | 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844-1659 | 2006-07-28 |
| 1710446026 | William Young Park | Student in an Organized Health Care Education/Training Program | 811 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-16 |
| 1083061154 | William Park | Student in an Organized Health Care Education/Training Program | 333 Cedar St, Tmp 3 Ynhh - Dept Anesthesiology, New Haven, CT 06510-3206 | 2016-05-18 |
| 1942458237 | William C. Park | Ophthalmology | 1588 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 | 2008-08-29 |
| 1871651190 | William Edward Park | Dentist | 629 Main St, Point Pleasant, WV 25550-1120 | 2006-12-06 |
| 1205949195 | William Y Park | Internal Medicine | 4011 Talbot Rd S, Ste 460, Renton, WA 98055-5773 | 2006-08-16 |
| Street Address |
11555 1/2 POTRERO RD |
| City | BANNING |
| State | CA |
| Zip Code | 92220-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300667 | Kendall Pratt Shumway | Podiatrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2005-07-15 |
| 1780294231 | Cara Ann Semino | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2020-08-08 |
| 1205308962 | Elena Virginia Weaver | Driver | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2018-12-19 |
| 1487142360 | Veronica Ramos-arambula | Counselor | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2018-04-26 |
| 1255688388 | Chad E Stockert | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2012-08-08 |
| 1629361027 | Timothy Li | Family Medicine | 11555 1/2 Potrero Rd, Riverside-san Bernardino County Indian Health, Inc., Banning, CA 92220-6946 | 2011-05-18 |
| 1972800613 | Ronald D Northcutt Sr. | Counselor | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2011-02-15 |
| 1295051852 | Oluwatoni Janet Arene | Family Medicine | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2010-04-07 |
| 1386873297 | Sandra H Conley | Registered Nurse | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2009-07-13 |
| 1720215825 | Afua I Khumalo | Dietitian, Registered | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| 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 |
|---|---|---|---|---|
| 1780294231 | Cara Ann Semino | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2020-08-08 |
| 1255688388 | Chad E Stockert | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2012-08-08 |
| 1437338407 | Brian E Vandusen | Optometrist | 3559 W Ramsey St, Ste D-6, Banning, CA 92220 | 2007-10-26 |
| 1760697015 | Karissa Lynn Paul | Optometrist | 6109 W Ramsey St, Banning, CA 92220-3051 | 2007-05-11 |
| 1144349549 | Jean T Dinh | Optometrist | 11555 Potrero Rd, Banning, CA 92220-6946 | 2007-03-28 |
| 1619914959 | Beaver Medical Group, Lp | Optometrist | 6109 W Ramsey St, Banning, CA 92220-3051 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
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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.