Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since May 24, 2024PECOS Enrolled
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: August 09, 2026.

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

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
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

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

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.

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.

Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807

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 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.

Where is Tiffany Park located?

Tiffany Park practices at 5460 E La Palma Ave, Anaheim, CA 92807. The listed phone number is (714) 463-7500.

What is Tiffany Park's specialty?

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

Is Tiffany Park enrolled in Medicare?

Yes. Tiffany 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 Tiffany Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Tiffany 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 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 18 days 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.