Dr. Mark J Park , OD
Optometrist • Delano, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Park, OD was a registered Optometrist in Delano, CA. Prior to record deactivation on 2006-03-21, Dr. Park completed approximately 13 years of clinical practice following graduation from Illinois College Of Optometry At Chicago in 1993.
Dr. Park accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
919 13th Ave
Delano, CA 932152202
Medicare Profile & Education
Illinois College Of Optometry At Chicago
1993
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Delano, CA
Practicing in Delano, CA (8588 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
38 | 38 | $73.95 | $73.05 |
|
92004
New patient complete exam of visual system
|
23 | 23 | $73.70 | $72.89 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 919 13TH AVE, DELANO, CA 932152202 (Tel: 6617253795)
Registered at 919 13TH AVE, DELANO, CA 932152202 (Tel: 6617253795)
Recorded as MARK PARK, O.D.
Optometrist (License #OPT10152T in CA)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 21, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
919 13th Ave
Delano, CA 932152202
Phone: 6617253795
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