Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922333004 Individual Practitioner Female Practitioner

Dr. Amy Leanne Park , OD

Optometrist • Riverside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amy Park, OD is a certified Optometrist practicing in Riverside, CA. With approximately 15 years of clinical experience since graduating from Pacific University - College Of Optometry in 2011, Dr. Park delivers high-quality medical care to the local community at 10800 MAGNOLIA AVE.

Dr. Park is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10800 Magnolia Ave

Riverside, CA 925053043

Telephone 9513534701
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Riverside, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -1.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
81 Specialists

Practicing in Riverside, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (15 Years) 15 Yrs
Riverside Specialty Average (16.5 Years) 16.5 Yrs

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 14428TLG

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

5601 De Soto Ave, Woodland Hills, CA 913676701

Phone: 8187192000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrick Mc Gill , PA

Physician Assistant

NPI 1003964958

Physician Assistant

NPI 1003975665

Doctor of Medicine (M.D.)

Dr. Richard Bradburne , MD

Internal Medicine - Critical Care Medicine

NPI 1003983925

Doctor of Medicine (M.D.)

Dr. Sung John , MD

Family Medicine

NPI 1013065085

Doctor of Medicine (M.D.)

Dr. Shelly Thio , MD

Internal Medicine

NPI 1013076637

Doctor of Medicine (M.D.)

Dr. Gregory Marrujo , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1013076686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043 (Tel: 9513534701)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Student in an Organized Health Care Education/Training Program

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2017

Registered at 10800 MAGNOLIA AVENUE, RIVERSIDE, CA 92505 (Tel: 9513534701)

📍
Updated Business Mailing Address November 14, 2017

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043

👤
Provider Name / Credentials Updated November 14, 2017

Recorded as AMY PARK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Optometrist (License #14428TLG in CA)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

Registered at 10800 MAGNOLIA AVENUE, RIVERSIDE, CA 92505 (Tel: 9513534701)

📍
Updated Business Mailing Address August 19, 2015

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as AMY PEDERSEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Optometrist (License #14428TLG in CA)

🟢
Initial NPI Registration & Enumeration October 07, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922333004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2009
Last Update: January 11, 2022
Sole Proprietor: No

Mailing Address

10800 Magnolia Ave

Riverside, CA 925053043

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.