MRS. TRACY TOM PARK O.D.
NPI 1770896011
Optometrist in Garden Grove, CA

Active since July 15, 2010PECOS Enrolled
12302 GARDEN GROVE BLVD, SUITE 6, GARDEN GROVE, CA 92843(714) 590-2020(714) 590-2044 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tracy Tom Park O.d. NPPES

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

MRS. TRACY TOM PARK O.D. (NPI 1770896011) is an individual optometrist in Garden Grove, California, licensed in California (14009) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770896011
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. TRACY TOM PARKCredential: O.D.
Location Address12302 GARDEN GROVE BLVD, SUITE 6Garden Grove, CA 92843-1802
Mailing Address12302 Garden Grove Blvd, Suite 6Garden Grove, CA 92843-1802 · (714) 590-2020 · Fax (714) 590-2044
Fax(714) 590-2044
Sole ProprietorYes
Enumeration DateJuly 15, 2010
Last NPPES UpdateJune 9, 2014
NPI 1770896011 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 · 14009
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.

12302 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Names 1

Former Name (1)Ms. Tracy Mee Lin Tom O.d.

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 (PECOS)

Mrs. Tracy Tom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92843 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 5

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

Chiropractor
12302 GARDEN GROVE BLVD, SUITE #21
GARDEN GROVE, CA 92843
Optometrist
12302 GARDEN GROVE BLVD, SUITE 6
GARDEN GROVE, CA 92843
Optometrist
12302 GARDEN GROVE BLVD, STE 6
GARDEN GROVE, CA 92843
Dentist (General Practice)
12302 GARDEN GROVE BLVD, SUITE 1
GARDEN GROVE, CA 92843
Clinic/Center (Dental)
12302 GARDEN GROVE BLVD, SUITE 2
GARDEN GROVE, CA 92843

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 Tracy Park's NPI number?

The NPI number for Tracy Park is 1770896011. It was assigned to this individual provider in the NPPES registry on July 15, 2010. The provider is also known as Ms. Tracy Mee Lin Tom O.D..

Where is Tracy Park located?

Tracy Park practices at 12302 Garden Grove Blvd Suite 6, Garden Grove, CA 92843. The listed phone number is (714) 590-2020.

What is Tracy Park's specialty?

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

Is Tracy Park enrolled in Medicare?

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

What insurance does Tracy Park accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Tracy 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 Tracy Park was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.