JENNY PARK OPTOMETRY
NPI 1235689779
Optometrist in Canoga Park, CA

Q: What is Jenny Park Optometry's NPI number?

The NPI number for Jenny Park Optometry is 1235689779. It was assigned to this organization in the NPPES registry on October 7, 2016.

Q: What is Jenny Park Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 07, 2016

6600 TOPANGA CANYON BLVD UNIT 1, CANOGA PARK, CA 91303(818) 883-8220 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jenny Park Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY PARK OPTOMETRY (NPI 1235689779) is a healthcare organization registered as an optometrist in Canoga Park, California and active in the NPI registry since October 2016. The organization lists Jenny Park, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1235689779

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJENNY PARK OPTOMETRY

Location Address6600 TOPANGA CANYON BLVD UNIT 1Canoga Park, CA 91303-2601

Mailing Address6600 Topanga Canyon Blvd Unit 1Canoga Park, CA 91303-2601

Phone(818) 883-8220

Organization SubpartNo

Authorized OfficialJenny ParkOptometrist · (206) 446-2800

Enumeration DateOctober 7, 2016

Last NPPES UpdateAugust 18, 2021

NPPES CertifiedAugust 18, 2021

✔ NPI 1235689779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 14630

Definition

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.

6600 TOPANGA CANYON BLVD UNIT 1, Canoga Park, CA 91303

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Other Names 1

Doing Business AsJenny Park Optometry

Other Identifiers 1

Other1356752372CA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Park Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jenny Park Optometry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jenny Park, O.D.

Optometry

NPI 1356752372

6600 TOPANGA CANYON BLVD UNIT 1
Canoga Park, CA 91303

(818) 883-8220

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Park Optometry's NPI number?

The NPI number for Jenny Park Optometry is 1235689779. It was assigned to this organization in the NPPES registry on October 7, 2016.

Where is Jenny Park Optometry located?

Jenny Park Optometry is located at 6600 Topanga Canyon Blvd Unit 1, Canoga Park, CA 91303. The listed phone number is (818) 883-8220.

What is Jenny Park Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jenny Park Optometry enrolled in Medicare?

Yes. Jenny Park Optometry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jenny Park Optometry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jenny Park Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jenny Park Optometry was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.