ROMY PARK OD PROFESSIONAL CORPORATION
NPI 1841402385
Optometrist in Las Vegas, NV

Active since May 04, 2007
3615 S RAINBOW BLVD STE 1, LAS VEGAS, NV 89103(702) 641-2007(702) 258-2006 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Romy Park Od Professional Corporation NPPES

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

ROMY PARK OD PROFESSIONAL CORPORATION (NPI 1841402385) is a healthcare organization registered as an optometrist in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Las Vegas and lists Romy Park, President, as its authorized official.

NPPES Registry Identity

NPI1841402385
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameROMY PARK OD PROFESSIONAL CORPORATION
Location Address3615 S RAINBOW BLVD STE 1Las Vegas, NV 89103-1057
Mailing AddressPo Box 401240Las Vegas, NV 89140-1240
Fax(702) 258-2006
Organization SubpartNo
Authorized OfficialRomy ParkPresident · (702) 641-2007
Enumeration DateMay 4, 2007
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1841402385 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 NV · 522
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.
3615 S RAINBOW BLVD STE 1, Las Vegas, NV 89103

Secondary Practice Location 1

Location 13900 Spring Mountain Rd Ste A1Las Vegas, NV 89102-8607 · Phone (702) 641-2007

Other Identifiers 6

Other26488NV · Medical Eye Services
Other56000NV · Davis
Other291059NV · Nva
Other35421NV · Avesis
Other1841402385Eyemed
Other26034NV · Spectera

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Romy Park Od Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20050606000737Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Romy Park Od Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1215155254
3615 S RAINBOW BLVD STE 1
Las Vegas, NV 89103
(702) 641-2007
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1730439357
1620 ALA MOANA BLVD SUITE 500
Honolulu, HI 96815
(808) 955-0255
✔ PECOS✔ Accepts Medicare2,754 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Romy Park Od Professional Corporation's NPI number?

The NPI number for Romy Park Od Professional Corporation is 1841402385. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Romy Park Od Professional Corporation located?

Romy Park Od Professional Corporation is located at 3615 S Rainbow Blvd Ste 1, Las Vegas, NV 89103. The listed phone number is (702) 641-2007.

What is Romy Park Od Professional Corporation's specialty?

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

Is Romy Park Od Professional Corporation enrolled in Medicare?

Yes. Romy Park Od Professional Corporation is registered in the Medicare PECOS enrollment system.

When is Romy Park Od Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Romy Park Od Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Romy Park Od Professional Corporation. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Romy Park Od Professional Corporation accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Romy Park Od Professional Corporation 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 Romy Park Od Professional Corporation was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.