DR. STELLA JAEYEUN PARK O.D
NPI 1457890543
Optometrist in Blue Bell, PA

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment
921 PENLLYN BLUE BELL PIKE, BLUE BELL, PA 19422(215) 628-2020 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. Stella Jaeyeun Park O.d NPPES

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

DR. STELLA JAEYEUN PARK O.D (NPI 1457890543) is an individual optometrist in Blue Bell, Pennsylvania, licensed in Pennsylvania (OEG003241) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2016).

NPPES Registry Identity

NPI1457890543
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STELLA JAEYEUN PARKCredential: O.D
Location Address921 PENLLYN BLUE BELL PIKEBlue Bell, PA 19422-2163
Mailing Address921 Penllyn Blue Bell PikeBlue Bell, PA 19422-2163 · (215) 578-7201
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2016
Enumeration DateFebruary 22, 2017
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1457890543 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 PA · OEG003241
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.
921 PENLLYN BLUE BELL PIKE, Blue Bell, PA 19422

Secondary Practice Locations 2

Location 1167 Montgomery MallNorth Wales, PA 19454-3911 · Phone (215) 361-8549
Location 2221 Easton Rd Ste 112Warrington, PA 18976-2517 · Phone (215) 491-1450

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

Dr. Stella Jaeyeun 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 ID648540625
PECOS Enrollment IDI20170725000163
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19422 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

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

Optometrist
921 PENLLYN BLUE BELL PIKE
BLUE BELL, PA 19422
Optometrist
921 PENLLYN BLUE BELL PIKE
BLUE BELL, PA 19422
Dentist (Endodontics)
921 PENLLYN BLUE BELL PIKE
BLUE BELL, PA 19422
Clinic/Center (Dental)
921 PENLLYN BLUE BELL PIKE
BLUE BELL, PA 19422

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 Stella Park's NPI number?

The NPI number for Stella Park is 1457890543. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Where is Stella Park located?

Stella Park practices at 921 Penllyn Blue Bell Pike, Blue Bell, PA 19422. The listed phone number is (215) 628-2020.

What is Stella Park's specialty?

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

Is Stella Park enrolled in Medicare?

Yes. Stella 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 Stella Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Stella 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 Stella Park was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.