CONNIE M. PARK O.D.
NPI 1437249190
Optometrist in Fullerton, CA
About Connie M. Park O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE M. PARK O.D. (NPI 1437249190) is an individual optometrist in Fullerton, California, licensed in California (CA OPT 9747) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Connie M. Park O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Connie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fullerton, CA 92832
- Reassigned Medicare billing, California enrollment
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 92832 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.
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 Connie Park's NPI number?
The NPI number for Connie Park is 1437249190. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Connie Park located?
Connie Park practices at 1425 S Euclid St, Fullerton, CA 92832. The listed phone number is (714) 680-5000.
What is Connie Park's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Connie Park enrolled in Medicare?
Yes. Connie Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Connie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Park reassigns Medicare benefits to New World Optometric Center (Fullerton, 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 Connie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie 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 BlueCross BlueShield of Tennessee and 1 other insurer list Connie 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 Connie Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.