BRIAN EDWARD WONG PARK O.D.
NPI 1164822714
Optometrist in Sacramento, CA
About Brian Edward Wong Park O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN EDWARD WONG PARK O.D. (NPI 1164822714) is an individual optometrist in Sacramento, California, licensed in California (15075) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Brian Edward Wong 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95815 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Edward Park's NPI number?
The NPI number for Brian Edward Park is 1164822714. It was assigned to this individual provider in the NPPES registry on September 2, 2014.
Where is Brian Edward Park located?
Brian Edward Park practices at 1695 Arden Way, Sacramento, CA 95815. The listed phone number is (916) 564-5983.
What is Brian Edward Park's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Brian Edward Park enrolled in Medicare?
Yes. Brian Edward 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 Brian Edward Park accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Brian Edward 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 Brian Edward Park was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Brian Edward Wong Park, O.D. · NPI 1164822714
Optometrist provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since September 2, 2014.
## Identity
- **NPI:** 1164822714 (Entity type: Individual)
- **Enumerated:** September 2, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 15075 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1695 ARDEN WAY, Sacramento, CA 95815-4004
- **Phone:** (916) 564-5983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1164822714) · Data from the CMS NPPES public registry.