Jenny Park Optometry
NPI 1235689779 · Optometrist · Canoga Park, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenny Park Optometry is a Optometrist organization in Canoga Park, CA (NPI 1235689779).
Provider details
- NPI number
- 1235689779
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jenny Park, Optometrist(206) 446-2800
- License
- 14630 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jenny Park Optometry
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Frequently asked questions
- What is Jenny Park Optometry's NPI number?
- Jenny Park Optometry's National Provider Identifier (NPI) is 1235689779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jenny Park Optometry?
- Jenny Park Optometry is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jenny Park Optometry located?
- Jenny Park Optometry's practice location on file with NPPES is 6600 Topanga Canyon Blvd Unit 1, Canoga Park, CA 91303-2601.
- What is Jenny Park Optometry's phone number?
- The practice phone number listed in the NPPES registry for Jenny Park Optometry is (818) 883-8220.
- Does Jenny Park Optometry accept Medicare?
- Jenny Park Optometry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jenny Park Optometry?
- The authorized official listed on Jenny Park Optometry's NPPES record is Jenny Park, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jenny Park Optometry's NPI active?
- Yes — Jenny Park Optometry's NPI (1235689779) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.