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JULIANA Y. PARK MD PC
NPI 1013197755
Ophthalmology in Fairfax, VA

Active since November 09, 2007
3020 HAMAKER CT, SUITE B-103, FAIRFAX, VA 22031(703) 573-9688(703) 207-9396 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Juliana Y. Park Md Pc NPPES

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

JULIANA Y. PARK MD PC (NPI 1013197755) is a healthcare organization registered as an ophthalmology in Fairfax, Virginia and active in the NPI registry since November 2007. The organization lists Juliana Youngmin Park, President, as its authorized official.

NPPES Registry Identity

NPI1013197755
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJULIANA Y. PARK MD PC
Location Address3020 HAMAKER CT, SUITE B-103Fairfax, VA 22031-2238
Mailing Address3020 Hamaker Ct, Suite B-103Fairfax, VA 22031-2238 · (703) 573-9688 · Fax (703) 207-9396
Phone(703) 573-9688
Fax(703) 207-9396
Organization SubpartNo
Authorized OfficialJuliana Youngmin ParkPresident · (703) 573-9688
Enumeration DateNovember 9, 2007
✔ NPI 1013197755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3020 HAMAKER CT, Fairfax, VA 22031
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Other Identifiers 1

Medicare UPING28758

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juliana Y. Park Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Juliana Y. Park MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Juliana Park, M.D.
Ophthalmology
NPI 1790864940
3020 HAMAKER CT SUITE B-103
Fairfax, VA 22031
(703) 573-9688
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Juliana Y. Park MD PC's NPI number?

The NPI number for Juliana Y. Park MD PC is 1013197755. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Juliana Y. Park MD PC located?

Juliana Y. Park MD PC is located at 3020 Hamaker Ct Suite B-103, Fairfax, VA 22031. The listed phone number is (703) 573-9688.

What is Juliana Y. Park MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Juliana Y. Park MD PC enrolled in Medicare?

Yes. Juliana Y. Park MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Juliana Y. Park MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Juliana Y. Park MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Juliana Y. Park MD PC was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.