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Export Provider Record NPI 1073896460
Park Optometric Incorporated
Organization Subpart: NO
Active
NPI Number1073896460
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1073896460
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-09-22
Last Updated2013-04-01
Authorized OfficialAnil Sethi
Doctor/Owner
Phone: 8313753937
Mailing Address2440 Fremont St Ste 209
Monterey, CA 93940-6850
United States
Phone: (831) 375-3937 | Fax: (866) 585-6553
📍 View Map
Primary Practice Address2440 Fremont St Ste 209
Monterey, CA 93940-6850
United States
Phone: (831) 375-3937 | Fax: (866) 585-6553
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristCA10808T
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About NPI 1073896460

Park Optometric Incorporated is an organization registered in the CMS NPPES NPI Registry with NPI number 1073896460. The primary specialty listed is Optometrist. The organization is located in Monterey, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-09-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073896460?

NPI 1073896460 belongs to Park Optometric Incorporated, a Optometrist in Monterey, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073896460 active?

The current status of NPI 1073896460 in the NPPES registry is Active. The record was last updated on 2013-04-01.

What specialty is NPI 1073896460?

NPI 1073896460 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073896460?

You can verify NPI 1073896460 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073896460?

The primary practice address on file for NPI 1073896460 is 2440 Fremont St Ste 209, Monterey, CA 93940-6850. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073896460 issued?

NPI 1073896460 was first issued (enumerated) on 2011-09-22. The NPPES record was last updated on 2013-04-01.

Practice Location Map

Park Optometric Incorporated is located at 2440 Fremont St Ste 209, Monterey, CA. Use the map below to find directions or verify the practice location.

📍 2440 Fremont St Ste 209, Monterey, CA 93940-6850  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Park Optometric Incorporated. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073896460. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist10808TCA
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162