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DONG JUN JOHN PARK M.D.
NPI 1700865052
Ophthalmology in Newport Beach, CA

Active since January 14, 2006PECOS Enrolled
180 NEWPORT CENTER DR STE 170, NEWPORT BEACH, CA 92660(949) 777-6883(949) 629-4011 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2022, May 13, 2016 (2 updates tracked since 2016).

About Dong Jun John Park M.d. NPPES

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

DONG JUN JOHN PARK M.D. (NPI 1700865052) is an individual ophthalmology provider in Newport Beach, California, licensed in California (A98835) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1700865052
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDONG JUN JOHN PARKCredential: M.D.
Location Address180 NEWPORT CENTER DR STE 170Newport Beach, CA 92660-0937
Mailing Address180 Newport Center Dr Ste 170Newport Beach, CA 92660-0937 · (949) 777-6883 · Fax (949) 629-4011
Phone(949) 777-6883
Fax(949) 629-4011
Sole ProprietorNo
Enumeration DateJanuary 14, 2006
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1700865052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A98835
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License A98835 (CA)
Also ListedPlastic SurgeryTaxonomy 208200000X · License A98835 (CA)
180 NEWPORT CENTER DR STE 170, Newport Beach, CA 92660
Open in Google Maps ↗

Secondary Practice Location 1

Location 11310 W Stewart Dr Ste 311Orange, CA 92868-3838 · Phone (949) 867-6458 · Fax (949) 629-4011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dong Jun John Park M.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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 3

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

D. J. JOHN PARK, M.D., INC.
Clinic/Center (Ophthalmologic Surgery)
180 NEWPORT CENTER DR STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 777-6883
RC ARTS, INC.
Plastic Surgery
180 NEWPORT CENTER DR STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 237-2727
DR. RUBEN ANTONIO CASTRO MD
Plastic Surgery
180 NEWPORT CENTER DR STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 237-2727

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 Dong Jun Park's NPI number?

The NPI number for Dong Jun Park is 1700865052. It was assigned to this individual provider in the NPPES registry on January 14, 2006.

Where is Dong Jun Park located?

Dong Jun Park practices at 180 Newport Center Dr Ste 170, Newport Beach, CA 92660. The listed phone number is (949) 777-6883.

What is Dong Jun Park's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Dong Jun Park enrolled in Medicare?

Yes. Dong Jun Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dong Jun Park was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.