Connie M Park, OD in Fullerton, CA - Medicare Optometrist Provider

Connie M Park, OD is a medicare enrolled "Optometrist" provider in Fullerton, California. Her current practice location is 1425 S Euclid St, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 680-5000.

Connie M Park is licensed to practice in California (license number CA OPT 9747) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437249190.

Contact Information

	Connie M Park, OD
	1425 S Euclid St, Fullerton, CA 92832-3153
	(714) 680-5000
	(714) 680-5821

Map and Direction

Healthcare Provider's Profile

Full Name	Connie M Park
Gender	Female
Speciality	Optometrist
Location	1425 S Euclid St, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437249190
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2668636424
Enrollment ID: I20120607000669

Medical Identifiers

Medical identifiers for Connie M Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437249190	NPI	-	NPPES
SD097470	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	CA OPT 9747 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie M Park allows following entities to bill medicare on her behalf.

Provider Name	New World Optometric Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144497710 PECOS PAC ID: 1759545510 Enrollment ID: O20120607000653

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie M Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Connie M Park, OD 1425 S Euclid St, Fullerton, CA 92832-3153 Ph: (714) 680-5000	Connie M Park, OD 1425 S Euclid St, Fullerton, CA 92832-3153 Ph: (714) 680-5000

Reviews and Comments

Optometrist in Fullerton, CA

Dr. Lisa M Harrison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7428 Fax: 714-992-7871
Dr. Regina Seen Won Garriott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-992-7870 Fax: 714-992-7871
Dr. Carmen Nadine Barnhardt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92631 Phone: 714-449-7423 Fax: 714-992-7871
California Eye And Ear Specialists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2240 N Harbor Blvd, 210, Fullerton, CA 92835 Phone: 714-278-1834 Fax: 714-278-1839
Amy A Lytle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7401 Fax: 717-992-7850
Fullerton Eyes Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1319 S Harbor Blvd, Fullerton, CA 92832 Phone: 714-525-3330 Fax: 714-525-3334
Dr. Alan Sasai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2575 Yorba Linda Blvd, Fullerton, CA 92831 Phone: 714-449-7496 Fax: 714-992-7871

Connie M Park, OD - Medicare Optometrist in Fullerton, CA