LISA PARK O.D.
NPI 1134484785
Optometrist in Carrollton, TX
About Lisa Park O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA PARK O.D. (NPI 1134484785) is an individual optometrist in Carrollton, Texas, licensed in Texas (8206TG) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Park O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carrollton, TX 75010
- Reassigned Medicare billing, Texas enrollment
Lithonia, GA 30038
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Mark Lynn Od And Associates PC
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARROLLTON, TX 75010
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 Lisa Park's NPI number?
The NPI number for Lisa Park is 1134484785. It was assigned to this individual provider in the NPPES registry on July 10, 2012.
Where is Lisa Park located?
Lisa Park practices at 1428 W Hebron Pkwy Ste 125, Carrollton, TX 75010. The listed phone number is (972) 325-2022.
What is Lisa Park's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lisa Park enrolled in Medicare?
Yes. Lisa Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Park reassigns Medicare benefits to 2 organizations: Lisa Park Od PLLC (Carrollton, TX) and Mark Lynn Od & Associates, PC (Lithonia, GA). Each 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 Lisa Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Park accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Lisa 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 Lisa Park was last updated on September 9, 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.
# Lisa Park, O.D. · NPI 1134484785
Optometrist provider in Carrollton, Texas. Individual provider, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1134484785 (Entity type: Individual)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 8206TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1428 W HEBRON PKWY STE 125, Carrollton, TX 75010-6345
- **Phone:** (972) 325-2022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lisa Park Od PLLC (NPI 1396393385, Carrollton, TX); Mark Lynn Od & Associates, PC (NPI 1417055203, Lithonia, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1134484785) · Data from the CMS NPPES public registry.