TIFFANY PARK OD, MS
NPI 1689414914
Optometrist in Anaheim, CA

Q: What is Tiffany Park's NPI number?

The NPI number for Tiffany Park is 1689414914. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Q: What is Tiffany 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 Tiffany Park was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 May 24, 2024PECOS EnrolledAccepts Medicare Assignment

5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Jun 17, 2024 (2 updates tracked since 2024).

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About Tiffany Park Od, Ms NPPES

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

TIFFANY PARK OD, MS (NPI 1689414914) is an individual optometrist in Anaheim, California, licensed in California (35679) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2024).

NPPES Registry Identity

NPI1689414914

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameTIFFANY PARKCredential: OD, MS

Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023

Mailing Address5460 E La Palma AveAnaheim, CA 92807-2023

Phone(714) 463-7500

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2024

Enumeration DateMay 24, 2024

Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1689414914 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 · 35679

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.

5460 E LA PALMA AVE, Anaheim, CA 92807

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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

Tiffany Park Od, Ms 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 ID749722593

PECOS Enrollment IDI20240607001072

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 Tiffany Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshall B. Ketchum University

Same address

Optometrist

5460 E LA PALMA AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
131 clinicians in this Medicare group

NPI 1720101876 (714) 463-7500

Southern California Permanente Medical Group

1.3 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

East-West Eye Institute A Medical Corporation

17 mi

Ophthalmology

475 W BADILLO ST
Covina, CA 91723

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1285270900 (626) 732-2200

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 92807 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

HENNA LO

Student in an Organized Health Care Education/Training Program