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JONATHAN D PARK O.D.
NPI 1063572279
Optometrist in Irving, TX

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
7457 LAS COLINAS BLVD, #100, IRVING, TX 75063(214) 382-3061(214) 382-3071 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan D Park O.d. NPPES

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

JONATHAN D PARK O.D. (NPI 1063572279) is an individual optometrist in Irving, Texas, licensed in Texas (6272TG) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2002).

NPPES Registry Identity

NPI1063572279
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJONATHAN D PARKCredential: O.D.
Location Address7457 LAS COLINAS BLVD, #100Irving, TX 75063-7561
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(214) 382-3061
Fax(214) 382-3071
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2002
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1063572279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 6272TG
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 6272TG (TX)
7457 LAS COLINAS BLVD, Irving, TX 75063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Jonathan D Park O.d. 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 ID7012978653
PECOS Enrollment IDI20041026000774
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services70 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
67 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH J KRIVACIC O.D.
Optometrist
7457 LAS COLINAS BLVD, #100
IRVING, TX 75063
Dallas County (214) 382-3061
ABCHILDREN'S DENTISTRY
Dentist (Pediatric Dentistry)
7457 LAS COLINAS BLVD, SUITE 101
IRVING, TX 75063
Dallas County (972) 910-0003
DR. TINA H BUI DDS, MS
Dentist (Pediatric Dentistry)
7457 LAS COLINAS BLVD, SUITE 101
IRVING, TX 75063
Dallas County (972) 910-0003

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 Jonathan Park's NPI number?

The NPI number for Jonathan Park is 1063572279. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jonathan Park located?

Jonathan Park practices at 7457 Las Colinas Blvd #100, Irving, TX 75063. The listed phone number is (214) 382-3061.

What is Jonathan Park's specialty?

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

Is Jonathan Park enrolled in Medicare?

Yes. Jonathan 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 Jonathan Park accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Jonathan 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 Jonathan Park was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.