DR. AMY LEANNE PARK O.D.
NPI 1922333004
Optometrist in Riverside, CA
About Dr. Amy Leanne Park O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY LEANNE PARK O.D. (NPI 1922333004) is an individual optometrist in Riverside, California, licensed in California (14428TLG) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Amy Leanne 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Amy Park's NPI number?
The NPI number for Amy Park is 1922333004. It was assigned to this individual provider in the NPPES registry on October 7, 2009. The provider is also known as Amy Leanne Pedersen.
Where is Amy Park located?
Amy Park practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-4701.
What is Amy Park's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Amy Park enrolled in Medicare?
Yes. Amy 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.
When was this NPI record last updated?
The NPPES record for Amy Park was last updated on January 11, 2022. 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.
# Dr. Amy Leanne Park, O.D. · NPI 1922333004
Optometrist provider in Riverside, California. Individual provider, active in the CMS NPPES registry since October 7, 2009.
## Identity
- **NPI:** 1922333004 (Entity type: Individual)
- **Enumerated:** October 7, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14428TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, Riverside, CA 92505-3043
- **Phone:** (951) 353-4701
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Pacific University - College Of Optometry, class of 2011
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922333004) · Data from the CMS NPPES public registry.