Individual provider · Type 1 NPI
Mark C. Park, OD
Corneal and Contact Management Optometrist · Encino, CA
Practice location
6345 Balboa Blvd, Building 3, Suite 250
Encino, CA 91316-1519
Fax (818) 344-1229
Mailing address
10507 Ilona Ave
Los Angeles, CA 90064-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 11381T (CA) |
| Corneal and Contact Management Optometrist Primary | 152WC0802X | 11381T (CA) |
| Vision Therapy Optometrist | 152WV0400X | 11381T (CA) |
Corneal and Contact Management Optometrist: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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- Evangeline Carlos, PharmDPharmacist Encino, CA NPI 1528992401
- Gary L. Etting, ODVision Therapy Optometrist Encino, CA NPI 1912969619
- Harry Ronald Chess, DDSDentist Encino, CA NPI 1912023979
- Jean Anita Pederson, PhDClinical Psychologist Encino, CA NPI 1639236391
- Jeffrey Steffon, LMFTMarriage & Family Therapist Encino, CA NPI 1063558302
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About NPI 1720049034
Mark C. Park, OD's National Provider Identifier is 1720049034, issued on Mar 28, 2006. The primary taxonomy on file is Corneal and Contact Management Optometrist (152WC0802X), and the practice location is in Encino, CA. The record was last updated on Sep 11, 2025.