JENNIFER PARK
NPI 1467879791
Optometrist in Oakland, CA

Q: What is Jennifer Park's NPI number?

The NPI number for Jennifer Park is 1467879791. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Q: What is Jennifer Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Park was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 25, 2014PECOS Enrolled

3060 E 9TH ST, OAKLAND, CA 94601(510) 535-5500 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Park NPPES

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

JENNIFER PARK (NPI 1467879791) is an individual optometrist in Oakland, California, licensed in California (14856) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467879791

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJENNIFER PARK

Location Address3060 E 9TH STOakland, CA 94601-2905

Mailing Address2238 Encinal Ave Apt AAlameda, CA 94501-4425 · (510) 415-7501

Phone(510) 535-5500

Sole ProprietorNo

Enumeration DateMarch 25, 2014

✔ NPI 1467879791 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 · 14856

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.

3060 E 9TH ST, Oakland, CA 94601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 94601 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

KAREN ROSE CHESTER OD

Optometrist

3060 E 9TH ST, SUITE B
OAKLAND, CA 94601

Alameda County (510) 535-5500

MRS. YOUNG SUN CHAO O.D.

Optometrist (Corneal and Contact Management)

3060 E 9TH ST, #B
OAKLAND, CA 94601

Alameda County (510) 535-4141

KRESTA RIA TABARANZA

Optometrist

3060 E 9TH ST
OAKLAND, CA 94601

Alameda County (510) 535-5500

JOEL MUNOZ OD

Optometrist

3060 E 9TH ST
OAKLAND, CA 94601

Alameda County (510) 535-5500

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 Jennifer Park's NPI number?

The NPI number for Jennifer Park is 1467879791. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Jennifer Park located?

Jennifer Park practices at 3060 E 9th St, Oakland, CA 94601. The listed phone number is (510) 535-5500.

What is Jennifer Park's specialty?

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

Is Jennifer Park enrolled in Medicare?

Yes. Jennifer Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Park was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.