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Deactivated NPI 1144389958 Deactivated / Inactive NPI Male Practitioner

Dr. David Park , OD

Optometrist • Lithonia, GA

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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. David Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2006
NPI Deactivation Date March 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. David Park, OD was a registered Optometrist practicing in Lithonia, GA. Throughout an active medical career spanning 12 years, Dr. Park provided care at the practice location at 2929 TURNER HILL RD until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

2929 Turner Hill Rd
Space2625

Lithonia, GA 300382500

Telephone 7704825050
Fax 7704825706
Associated Practice Facility / Clinic
🏢 Mark Lynn Od & Associates Pc Facility NPI 1750318168

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Lithonia, GA (1498 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT002056

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1124046248

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2929 TURNER HILL RD, SPACE2625, LITHONIA, GA 300382500 (Tel: 7704825050)

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Updated Business Mailing Address July 08, 2007

Registered at 11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 782131370 (Tel: 2105246663)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID PARK, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OPT002056 in GA)

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Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144389958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Deactivation Date: March 07, 2018

Mailing Address

11103 West Ave, Suite 6

San Antonio, TX 782131370

Phone: 2105246663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.