DR. STANLEY S PARK MD
NPI 1730421983
Ophthalmology - Retina Specialist in Oklahoma City, OK
About Dr. Stanley S Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STANLEY S PARK MD (NPI 1730421983) is an individual retina specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (33895) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. Stanley S Park Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stanley Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 8 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OKLAHOMA CITY, OK 73104
OKLAHOMA CITY, OK 73104
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 Stanley Park's NPI number?
The NPI number for Stanley Park is 1730421983. It was assigned to this individual provider in the NPPES registry on March 25, 2013.
Where is Stanley Park located?
Stanley Park practices at 608 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-6060.
What is Stanley Park's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Stanley Park enrolled in Medicare?
Yes. Stanley 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.
Which organizations bill Medicare for Stanley Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Park reassigns Medicare benefits to 2 organizations: University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology (Oklahoma City, OK) and Permanente Medical Group Inc (Stockton, 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 Stanley 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 Stanley Park was last updated on December 17, 2021. 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.
# Dr. Stanley S Park, MD · NPI 1730421983
Retina Specialist physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since March 25, 2013.
## Identity
- **NPI:** 1730421983 (Entity type: Individual)
- **Enumerated:** March 25, 2013
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** 33895 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 608 STANTON L YOUNG BLVD, Oklahoma City, OK 73104-5014
- **Phone:** (405) 271-6060 · **Fax:** (405) 271-1926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology (NPI 1477623700, Oklahoma City, OK); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730421983) · Data from the CMS NPPES public registry.