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

Dr. Kristine Rachael Park, OD

Individual provider Optometrist · NPI 1821650383

Dr. Kristine Rachael Park, OD is an Optometry in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Maloney-Shamie Vision Institute, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2019
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

10921 Wilshire Blvd Ste 900
Los Angeles, CA 90024-4003
Phone: (310) 208-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Superior Ave Ste 390, Newport Beach, CA 92663 — (949) 631-4780

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT34525 (CA)

Record details

NPI number1821650383
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Maloney-Shamie Vision Institute — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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