JESSICA PARK O.D.
NPI 1487197885
Optometrist in Glendale, AZ

Q: What is Jessica Park's NPI number?

The NPI number for Jessica Park is 1487197885. It was assigned to this individual provider in the NPPES registry on December 2, 2016.

Q: What is Jessica 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 Jessica Park was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 02, 2016PECOS Enrolled

7700 W ARROWHEAD TOWNE CTR, SUITE 1136, GLENDALE, AZ 85308(623) 979-9830(602) 416-4657 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jessica Park O.d. NPPES

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

JESSICA PARK O.D. (NPI 1487197885) is an individual optometrist in Glendale, Arizona, licensed in Arizona (2153) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487197885

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJESSICA PARKCredential: O.D.

Location Address7700 W ARROWHEAD TOWNE CTR, SUITE 1136Glendale, AZ 85308-8616

Mailing Address220 N Mckemy AveChandler, AZ 85226-2654 · (480) 961-1865

Phone(623) 979-9830

Fax(602) 416-4657

Sole ProprietorNo

Enumeration DateDecember 2, 2016

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1487197885 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 AZ · 2153

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.

7700 W ARROWHEAD TOWNE CTR, Glendale, AZ 85308

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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 (PECOS)

Jessica Park O.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

592 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Provider Profile

633 mi

Optometrist

2581 NUT TREE RD STE C
Vacaville, CA 95687

Reassigned Medicare billing, California enrollment

NPI 1194012617 (707) 447-1332

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 85308 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 14

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

DR. MARGARITA ALICIA COCA O.D.

Optometrist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (623) 486-2020

DR. KATHLEEN ANN CONDERATO DDS

Dentist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (623) 937-6453

VISIONWORKS INC

Eyewear Supplier

7700 W ARROWHEAD TOWNE CTR, STE 2130
GLENDALE, AZ 85308

Maricopa County (623) 486-2020

TOM SOWASH OD & ASSOCIATES, PC

Optometrist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (623) 486-2020

JACOB HEDGES OD

Optometrist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (210) 524-6803

ARROWHEAD SMILES

Dentist (General Practice)

7700 W ARROWHEAD TOWNE CTR, SUITE 2268
GLENDALE, AZ 85308

Maricopa County (623) 937-6453

LILY ANN FORCESKIE

Optometrist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (623) 486-2020

DR. HANNAH T ALEGADO OD

Optometrist

7700 W ARROWHEAD TOWNE CTR
GLENDALE, AZ 85308

Maricopa County (210) 289-8235

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 Jessica Park's NPI number?

The NPI number for Jessica Park is 1487197885. It was assigned to this individual provider in the NPPES registry on December 2, 2016.

Where is Jessica Park located?

Jessica Park practices at 7700 W Arrowhead Towne Ctr Suite 1136, Glendale, AZ 85308. The listed phone number is (623) 979-9830.

What is Jessica Park's specialty?

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

Is Jessica Park enrolled in Medicare?

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

Which organizations bill Medicare for Jessica Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Park reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and (Vacaville, CA). Each 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 Jessica 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 Jessica Park was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.