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

Dr. Jenny Park, OD

Individual provider Optometrist · NPI 1356752372

Dr. Jenny Park, OD is an Optometry in Canoga Park, California. Graduated from Southern California College of Optometry in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6600 Topanga Canyon Blvd Unit 1
Canoga Park, CA 91303-2601
Phone: (818) 883-8220
Fax: (818) 348-7724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14630TLG (CA)
Optometrist Taxonomy 152W00000X · Licence 14630 (CA)

Record details

NPI number1356752372
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 13, 2014
Last updated in NPPESAugust 18, 2021
Certification dateAugust 4, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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