JENNIFER KIYOMI PARKS O.D.
NPI 1972057404
Optometrist in Antioch, CA

Q: What is Jennifer Parks's NPI number?

The NPI number for Jennifer Parks is 1972057404. It was assigned to this individual provider in the NPPES registry on August 13, 2016.

Q: What is Jennifer Parks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Parks was last updated on January 3, 2022. 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.

Active since August 13, 2016PECOS Enrolled

4501 SAND CREEK RD, ANTIOCH, CA 94531(925) 813-3280 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Feb 18, 2021, Aug 13, 2016 (3 updates tracked since 2016).

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About Jennifer Kiyomi Parks O.d. NPPES

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

JENNIFER KIYOMI PARKS O.D. (NPI 1972057404) is an individual optometrist in Antioch, California, licensed in California (OPT33497) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972057404

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJENNIFER KIYOMI PARKSCredential: O.D.

Location Address4501 SAND CREEK RDAntioch, CA 94531-8687

Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687 · (925) 813-3280

Phone(925) 813-3280

Sole ProprietorNo

Enumeration DateAugust 13, 2016

Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1972057404 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 · OPT33497

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.

4501 SAND CREEK RD, Antioch, CA 94531

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kiyomi Parks 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Parks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

California Eye Clinic

2.7 mi

Ophthalmology

3747 SUNSET LN
Antioch, CA 94509

Reassigned Medicare billing, California enrollment
13 clinicians in this Medicare group

NPI 1073658027 (925) 754-2300

Permanente Medical Group Inc

27 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 94531 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 20

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

KRISTEN ASAKO SHIMODA PHARMD

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