NANCY PARK OD, INC
NPI 1275319485
Optometrist in Ukiah, CA

Q: What is Nancy Park Od, Inc's NPI number?

The NPI number for Nancy Park Od, Inc is 1275319485. It was assigned to this organization in the NPPES registry on September 4, 2023. The provider is doing business as Park Optometry.

Q: What is Nancy Park Od, Inc's specialty?

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

Active since September 04, 2023

1275 AIRPORT PARK BLVD, UKIAH, CA 95482(707) 313-8019(707) 313-8018 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Sep 4, 2023 (2 updates tracked since 2023).

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About Nancy Park Od, Inc NPPES

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

NANCY PARK OD, INC (NPI 1275319485), doing business as Park Optometry, is a healthcare organization registered as an optometrist in Ukiah, California and active in the NPI registry since September 2023. The organization lists Nancy Park Wu, President, as its authorized official.

NPPES Registry Identity

NPI1275319485

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNANCY PARK OD, INC

Location Address1275 AIRPORT PARK BLVDUkiah, CA 95482-7400

Mailing Address22735 Sparrowdell DrCalabasas, CA 91302-1818 · (310) 430-0586

Phone(707) 313-8019

Fax(707) 313-8018

Organization SubpartNo

Authorized OfficialNancy Park WuPresident · (310) 430-0586

Enumeration DateSeptember 4, 2023

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1275319485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

1275 AIRPORT PARK BLVD, Ukiah, CA 95482

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Other Names 1

Doing Business AsPark Optometry

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)

Nancy Park Od, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nancy Park Od, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ailleen Jacob, OD

Optometry

NPI 1871143883

1275 AIRPORT PARK BLVD
Ukiah, CA 95482

(707) 313-8019

✔ PECOS✔ Accepts MedicareSame address

Nancy Wu, O.D.

Optometry

NPI 1821067505

1275 AIRPORT PARK BLVD
Ukiah, CA 95482

(707) 313-8019

✔ PECOS✔ Accepts MedicareSame address

Tu-Anh Vu, OD

Optometry

NPI 1831704147

44 SERRAMONTE CTR
Daly City, CA 94015

(650) 992-8404

✔ PECOS✔ Accepts Medicare108 mi

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 Nancy Park Od, Inc's NPI number?

The NPI number for Nancy Park Od, Inc is 1275319485. It was assigned to this organization in the NPPES registry on September 4, 2023. The provider is doing business as Park Optometry.

Where is Nancy Park Od, Inc located?

Nancy Park Od, Inc is located at 1275 Airport Park Blvd, Ukiah, CA 95482. The listed phone number is (707) 313-8019.

What is Nancy Park Od, Inc's specialty?

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

Is Nancy Park Od, Inc enrolled in Medicare?

Yes. Nancy Park Od, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nancy Park Od, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Nancy Park Od, Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Park Od, Inc was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.