Connie M Park, OD | |
1425 S Euclid St, Fullerton, CA 92832-3153 | |
(714) 680-5000 | |
(714) 680-5821 |
Full Name | Connie M Park |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1425 S Euclid St, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437249190 | NPI | - | NPPES |
SD097470 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | CA OPT 9747 (California) | Primary |
Provider Name | New World Optometric Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144497710 PECOS PAC ID: 1759545510 Enrollment ID: O20120607000653 |
Mailing Address | Practice Location Address |
---|---|
Connie M Park, OD 1425 S Euclid St, Fullerton, CA 92832-3153 Ph: (714) 680-5000 | Connie M Park, OD 1425 S Euclid St, Fullerton, CA 92832-3153 Ph: (714) 680-5000 |
Dr. Lisa M Harrison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7428 Fax: 714-992-7871 | |
Dr. Regina Seen Won Garriott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-992-7870 Fax: 714-992-7871 | |
Dr. Carmen Nadine Barnhardt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92631 Phone: 714-449-7423 Fax: 714-992-7871 | |
California Eye And Ear Specialists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2240 N Harbor Blvd, 210, Fullerton, CA 92835 Phone: 714-278-1834 Fax: 714-278-1839 | |
Amy A Lytle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7401 Fax: 717-992-7850 | |
Fullerton Eyes Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1319 S Harbor Blvd, Fullerton, CA 92832 Phone: 714-525-3330 Fax: 714-525-3334 | |
Dr. Alan Sasai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7496 Fax: 714-992-7871 |