Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780808105 Individual Practitioner Male Practitioner

Dr. Peter Park , OD

Optometrist • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Peter Park, OD is a registered healthcare professional specializing in Optometrist in Las Vegas, NV. Practice services are available at 5198 BOULDER HWY under active NPI credentials.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5198 Boulder Hwy

Las Vegas, NV 89122

Telephone 7024342020
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores, Inc. Facility NPI 1790840692

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
255 Specialists

Practicing in Las Vegas, NV (562 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

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
33 33 $125.00 $124.94

Medical Specialties & State Licenses

CMS Verified: 2022-05-31
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NV 422

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

2 Associated Practitioners
NPI 1073799136

Doctor of Optometry

NPI 1811597396

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 14, 2017

Registered at 2188 ORCHARD MIST ST, LAS VEGAS, NV 89135 (Tel: 7024342020)

📍
Updated Practice Location July 14, 2017

Registered at 5198 BOULDER HWY, LAS VEGAS, NV 89122 (Tel: 7024342020)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as PETER PARK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Optometrist (License #422 in NV)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5198 BOULDER HWY, LAS VEGAS, NV 89122 (Tel: 7024342020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11265 NEWBURY HILLS AVE, LAS VEGAS, NV 891381521

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER PARK, O.D.

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

Optometrist (License #422 in NV)

🟢
Initial NPI Registration & Enumeration April 13, 2007

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: 1780808105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: May 31, 2022
Sole Proprietor: No

Mailing Address

2188 Orchard Mist St

Las Vegas, NV 89135

Phone: 7024342020

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.