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DR. ALEXANDER YOUNG JONG PARK O.D.
NPI 1295986917
Optometrist in Santa Clara, CA

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
2366 EL CAMINO REAL, #5, SANTA CLARA, CA 95050(925) 323-8972 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alexander Young Jong Park O.d. NPPES

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

DR. ALEXANDER YOUNG JONG PARK O.D. (NPI 1295986917) is an individual optometrist in Santa Clara, California, licensed in California (13599TLG) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2008).

NPPES Registry Identity

NPI1295986917
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEXANDER YOUNG JONG PARKCredential: O.D.
Location Address2366 EL CAMINO REAL, #5Santa Clara, CA 95050-4070
Mailing Address470 Navaro Way, #202San Jose, CA 95134-2492 · (925) 323-8972
Phone(925) 323-8972
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 2008
Enumeration DateOctober 1, 2008
Last NPPES UpdateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
✔ NPI 1295986917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13599TLG
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.
2366 EL CAMINO REAL, Santa Clara, CA 95050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander Young Jong 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 ID2769536945
PECOS Enrollment IDI20090822000116
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexander Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
268 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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

Areas of Expertise CMS Part B claims

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 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95050 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 2

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

DR. LILY H KIM OD
Optometrist
2366 EL CAMINO REAL, STE 5
SANTA CLARA, CA 95050
Santa Clara County (408) 246-5858
LILY H KIM OD A PROFESSIONAL CORPORATION
Optometrist
2366 EL CAMINO REAL, SUITE 5
SANTA CLARA, CA 95050
Santa Clara County (408) 246-5858

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 Alexander Park's NPI number?

The NPI number for Alexander Park is 1295986917. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Alexander Park located?

Alexander Park practices at 2366 El Camino Real #5, Santa Clara, CA 95050. The listed phone number is (925) 323-8972.

What is Alexander Park's specialty?

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

Is Alexander Park enrolled in Medicare?

Yes. Alexander 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.

Which organization bills Medicare for Alexander Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Park reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, CA). The 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 Alexander Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Park was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.