Mark Park, O.D

InactiveIndividual ProviderOptometry
NPI issued: June 9, 2005

Quick Facts

NPI Number
1073517801
TypeIndividual
StatusInactive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(661) 725-3795
StateCA

NPI Validation Status: Deactivated

Valid 10-digit NPI number (1073517801)
Active status: Deactivated / Inactive
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 9, 2005)
Data source: CMS NPPES

Provider Overview

MARK PARK, O.D is a Optometry provider based in Delano, CA who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1073517801
Provider TypeIndividual Provider
GenderMale
CredentialO.D
StatusInactive
Enumeration DateJune 9, 2005

Practice Location

CityDelano
StateCA
ZIP Code93215-2202
Phone(661) 725-3795

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateCA

Mailing Address

CityDelano
StateCA
ZIP Code93215-2202
Phone(661) 725-3795
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1073517801 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1073517801for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1073517801 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Mark Park's NPI number?
Mark Park's NPI number is 1073517801, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Park's NPI currently active?
No, Mark Park's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Mark Park specialize in?
Mark Park specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Mark Park practice?
Mark Park practices in Delano, CA 93215-2202.
When was Mark Park's NPI issued?
Mark Park's NPI was issued on June 9, 2005.
What is Mark Park's provider type?
Mark Park is registered as an Individual Provider under CMS NPI Type 1.