DR. JENNY PARK O.D.
NPI 1356752372
Optometrist in Canoga Park, CA

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
6600 TOPANGA CANYON BLVD UNIT 1, CANOGA PARK, CA 91303(818) 883-8220(818) 348-7724 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, Jul 30, 2021, Jul 23, 2021 (3 updates tracked since 2021).

About Dr. Jenny Park O.d. NPPES

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

DR. JENNY PARK O.D. (NPI 1356752372) is an individual optometrist in Canoga Park, California, licensed in California (14630TLG) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2013).

NPPES Registry Identity

NPI1356752372
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNY PARKCredential: O.D.
Location Address6600 TOPANGA CANYON BLVD UNIT 1Canoga Park, CA 91303-2601
Mailing Address6600 Topanga Canyon BlvdCanoga Park, CA 91303-2609 · (818) 883-8220 · Fax (818) 348-7724
Fax(818) 348-7724
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2013
Enumeration DateMay 13, 2014
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1356752372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CA · 14630TLG 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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jenny Park O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688953896
PECOS Enrollment IDI20210831001862
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
6600 TOPANGA CANYON BLVD UNIT 1
CANOGA PARK, CA 91303
Optometrist
6600 TOPANGA CANYON BLVD UNIT 1
CANOGA PARK, CA 91303
Eyewear Supplier
6600 TOPANGA CANYON BLVD UNIT 1
CANOGA PARK, CA 91303

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's NPI number?

The NPI number for Jenny Park is 1356752372. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Jenny Park located?

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

What is Jenny Park's specialty?

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

Is Jenny Park enrolled in Medicare?

Yes. Jenny Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenny Park accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jenny Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenny Park 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 4 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.