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SO RI PARK DOCTOR OF OPTOMETRY
NPI 1790458487
Optometrist in York, PA

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment
52.52/100
CMS Quality Rating
1880 KENNETH RD STE 1, YORK, PA 17408(717) 767-2000 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About So Ri Park Doctor Of Optometry NPPES

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

SO RI PARK DOCTOR OF OPTOMETRY (NPI 1790458487) is an individual optometrist in York, Pennsylvania, licensed in Pennsylvania (OEG003836) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in York, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790458487
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSO RI PARKCredential: DOCTOR OF OPTOMETRY
Location Address1880 KENNETH RD STE 1York, PA 17408-6344
Mailing Address1703 N Newkirk StPhiladelphia, PA 19121-2714 · (646) 460-0894
Phone(717) 767-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1790458487 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 PA · OEG003836
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.
1880 KENNETH RD STE 1, York, PA 17408
Open in Google Maps ↗

Secondary Practice Location 1

Location 12801 E Market St Bldg BYork, PA 17402-2406 · Phone (717) 600-0856

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

So Ri Park Doctor Of Optometry 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 ID4981008422
PECOS Enrollment IDI20210805003328
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
437 services351 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services116 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
127 services119 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
117 services113 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
57 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17408 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost25.08

Other Providers at the Same Location NPPES 4

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

JEROME V BENZ DO
Ophthalmology
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
IJEOMA ONYEJIUKWA O.D.
Optometrist
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
MONIKA SINGH MD
Ophthalmology
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Ophthalmology
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000

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 So Ri Park's NPI number?

The NPI number for So Ri Park is 1790458487. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is So Ri Park located?

So Ri Park practices at 1880 Kenneth Rd Ste 1, York, PA 17408. The listed phone number is (717) 767-2000.

What is So Ri Park's specialty?

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

Is So Ri Park enrolled in Medicare?

Yes. So Ri 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 So Ri Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list So Ri 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 So Ri Park was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.