SONG ANTHIMUS PARK (NPI# 1902288434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902288434 |
Entity Type | Individual |
Full Name | SONG ANTHIMUS PARK |
Credential | O.D. |
Practice Address |
13593 Us Highway 87 W # 105 La Vernia TX 78121-5884 |
Mailing Address |
14011 Fairway Oaks San Antonio TX 78217-1651 |
Practice Telephone | 2103872266 |
Enumeration Date | 2015-06-20 |
Last Update Date | 2015-06-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 8681 | TX | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568852317 | Song Y. Park | Nurse Practitioner | 771 Old Norcross Rd Ste 120, Lawrenceville, GA 30046-4977 | 2015-02-02 |
1376173328 | Song Youn Park | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2020-01-17 |
1346761541 | Song Park | Acupuncturist | 16 E 40th St Fl 2, New York, NY 10016-0134 | 2017-06-28 |
1225486947 | Song Yong Park | Dentist | 412 State Route 37, Hogansburg, NY 13655-3109 | 2016-06-03 |
1811297971 | Song Wook Park | Pharmacist | 413 Elden St, Herndon, VA 20170-4512 | 2010-10-23 |
Street Address |
13593 US HIGHWAY 87 W # 105 |
City | LA VERNIA |
State | TX |
Zip Code | 78121-5884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952918864 | Madison Jill Weise | Speech-Language Pathologist | 249 Fm 1346 S. La Verina 1sd (lv Phmam), La Vernia, TX 78121 | 2020-09-24 |
1083197339 | Heather Yosko | Physical Therapist | 169 Woodlands Dr, La Vernia, TX 78121 | 2018-09-12 |
1982185575 | Patrick Christian Traugott Jr. | Occupational Therapist | 1217 Hillside Oaks Dr., La Vernia, TX 78121 | 2018-08-22 |
1154627487 | Toni Vargas | Physician Assistant | 402 West Chihuahua Street, La Vernia, TX 78121 | 2011-02-03 |
1073830659 | H-e-b, Lp | Clinical Medical Laboratory | 14414 Us Highway 87 West, Lavernia, TX 78121 | 2010-04-22 |
1417123399 | Tami Ray Wieland | Physician Assistant | 102 S. Fm 1346, Suite 1, La Vernia, TX 78121 | 2008-05-01 |
1063693398 | Roderick D Ekmark | Family Medicine | 13857 Us Highway 87 West, La Vernia, TX 78121 | 2007-11-15 |
1902951007 | La Vernia Volunteer Ambulance Service | Ambulance | 12033 Hwy 87 West, La Vernia, TX 78121 | 2007-01-25 |
1710056619 | David L Fleitas | Dentist | 200 W Chihuahua Street, The Dental Depot, La Vernia, TX 78121 | 2006-11-06 |
1710972880 | Derek W Guillory | Emergency Medicine | 202 Fm 1346, Suite 2, La Vernia, TX 78121 | 2005-09-15 |
Find all providers in zip 78121 |
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 |
---|---|---|---|---|
1649545294 | Ryan-winpigler Eye Care Pllc | Optometrist | 13593 Us Highway 87 W Ste 105, La Vernia, TX 78121-5884 | 2012-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
1295334001 | Eye Room Pllc | Optometrist | 17659 Fishtrap Road, Ste 30, Prosper, TX 75078-7507 | 2020-10-22 |
1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
1922607902 | Glimpse Eye Care | Optometrist | 26435 Kuykendahl Rd Ste 800, Tomball, TX 77375-1855 | 2020-10-21 |
1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
Find all providers with the same taxonomy |
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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.