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DR. QUENTIN GIN PARK OD
NPI 1003830340
Optometrist in Addison, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
1250 W LAKE ST STE 19C, ADDISON, IL 60101(630) 543-0607 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Quentin Gin Park Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. QUENTIN GIN PARK OD (NPI 1003830340) is an individual optometrist in Addison, Illinois, licensed in Illinois (046009672) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1003830340
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. QUENTIN GIN PARKCredential: OD
Location Address1250 W LAKE ST STE 19CAddison, IL 60101-5744
Mailing Address1250 W Lake St Ste 19cAddison, IL 60101-5744 · (630) 543-0607
Phone(630) 543-0607
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 16, 2025
NPPES CertifiedFebruary 16, 2025
✔ NPI 1003830340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046009672
Definition
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.
1250 W LAKE ST STE 19C, Addison, IL 60101
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Other Identifiers 5

Other4584027IL · Bcbs Pin
Other363187524IL · Cigna
Other363187524IL · Phcs Pin
Other363187524IL · Aetna
OtherK11567IL · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Quentin Gin Park Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193787315
PECOS Enrollment IDI20041101000050
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quentin Park's NPI number?

The NPI number for Quentin Park is 1003830340. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Quentin Park located?

Quentin Park practices at 1250 W Lake St Ste 19C, Addison, IL 60101. The listed phone number is (630) 543-0607.

What is Quentin Park's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Quentin Park enrolled in Medicare?

Yes. Quentin Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Quentin Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Quentin Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quentin Park was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.