Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Edward Wong Park, OD

Individual provider Optometrist · NPI 1164822714

Brian Edward Wong Park, OD is an Optometry in Sacramento, California. Qualified in 2014, 12 years ago. Practices with Greenhaven Optometry, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1695 Arden Way
Sacramento, CA 95815-4004
Phone: (916) 564-5983
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 15075 (CA)

Record details

NPI number1164822714
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 2, 2014
Last updated in NPPESSeptember 2, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Greenhaven Optometry — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sacramento