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Active NPI 1003830340 Individual Practitioner Male Practitioner

Dr. Quentin Gin Park , OD

Optometrist • Addison, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Quentin Park, OD is a certified Optometrist practicing in Addison, IL. With approximately 22 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2004, Dr. Park delivers high-quality medical care to the local community at 1250 W LAKE ST STE 19C.

Dr. Park is affiliated with The Eye Care Center, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, exam of visual field with limited testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 W Lake St Ste 19c

Addison, IL 601015744

Telephone 6305430607
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Addison, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -3.2 yrs vs City Avg
City Avg: 25.2 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Addison, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (22 Years) 22 Yrs
Addison Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
33 29 $54.56 $38.82
92014 Established patient complete exam of visual system
21 19 $145.08 $127.64
92081 Exam of visual field with limited testing
20 20 $38.57 $30.55
99213 Established patient office or other outpatient visit, typically 15 minutes
16 14 $83.97 $83.97

Medical Specialties & State Licenses

CMS Verified: 2025-02-16
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046009672

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

Commercial Insurance / Payer ID Bcbs Pin
4584027 (IL)
Commercial Insurance / Payer ID Cigna
363187524 (IL)
Commercial Insurance / Payer ID Phcs Pin
363187524 (IL)
Commercial Insurance / Payer ID Aetna
363187524 (IL)
Commercial Insurance / Payer ID Medicare Provider Number
K11567 (IL)

Hospital & Practice Group Affiliations

The Eye Care Center, Ltd.

1250 W Lake St, Addison, IL 601015744

Phone: 6305430607

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Lenard Schwartz , OD

Optometrist - Corneal and Contact Management

NPI 1104878891

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 16, 2025

Registered at 1250 W LAKE ST STE 19C, ADDISON, IL 601015744 (Tel: 6305430607)

📍
Updated Business Mailing Address February 16, 2025

Registered at 1250 W LAKE ST STE 19C, ADDISON, IL 601015744 (Tel: 6305430607)

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2008

Registered at 9 S LINCOLNWAY, NORTH AURORA, IL 605421608 (Tel: 6308442500)

📍
Updated Business Mailing Address June 25, 2008

Registered at 9 S LINCOLNWAY, NORTH AURORA, IL 605421608 (Tel: 6308442500)

👤
Provider Name / Credentials Updated June 25, 2008

Recorded as QUENTIN PARK, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Optometrist (License #046009672 in IL)

🟢
Initial NPI Registration & Enumeration July 27, 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: 1003830340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: February 16, 2025
Sole Proprietor: No

Mailing Address

1250 W Lake St Ste 19c

Addison, IL 601015744

Phone: 6305430607

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.