Individual provider · Type 1 NPI

Mark C. Park, OD

Corneal and Contact Management Optometrist · Encino, CA

NPI number 1720049034 Active

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

TaxonomyCodeLicense
Optometrist 152W00000X11381T (CA)
Corneal and Contact Management Optometrist Primary 152WC0802X11381T (CA)
Vision Therapy Optometrist 152WV0400X11381T (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.

20 other providers at this address

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.