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Individual
MARK C. PARK
Active
Individual
MARK C. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11381T
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
11381T
CA
152WV0400X
Vision Therapy Optometrist
11381T
CA
Other
Enumeration date
03/28/2006
Last updated
09/11/2025
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