DR. KRISTINE RACHAEL PARK OD
NPI 1821650383
Optometrist in Los Angeles, CA
About Dr. Kristine Rachael Park Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINE RACHAEL PARK OD (NPI 1821650383) is an individual optometrist in Los Angeles, California, licensed in California (OPT34525) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport Beach, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Kristine Rachael Park Od 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 Kristine Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90024
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Gregg Feinerman, M.D., Inc.
- 5 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 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Kristine Park's NPI number?
The NPI number for Kristine Park is 1821650383. It was assigned to this individual provider in the NPPES registry on July 5, 2019.
Where is Kristine Park located?
Kristine Park practices at 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024. The listed phone number is (310) 208-3937.
What is Kristine Park's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kristine Park enrolled in Medicare?
Yes. Kristine 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 Kristine Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Park reassigns Medicare benefits to 2 organizations: Maloney-Shamie Vision Institute (Los Angeles, CA) and Gregg Feinerman MD Inc. (Newport Beach, 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 Kristine 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 Kristine Park was last updated on November 2, 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. Kristine Rachael Park, OD · NPI 1821650383
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 5, 2019.
## Identity
- **NPI:** 1821650383 (Entity type: Individual)
- **Enumerated:** July 5, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT34525 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10921 WILSHIRE BLVD STE 900, Los Angeles, CA 90024-4003
- **Phone:** (310) 208-3937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maloney-Shamie Vision Institute (NPI 1922501154, Los Angeles, CA); Gregg Feinerman MD Inc. (NPI 1871665869, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 2, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1821650383) · Data from the CMS NPPES public registry.