Mark J. Park, O.D.
NPI 1073517801ActiveIndividual· Optometrist· Delano, CA
Optometrist (O.D.) in Delano, California, trained at Illinois College of Optometry at Chicago (class of 1993). Medicare paid $646.80 for services to 11 patients in 2024.
Overview
| NPI | 1073517801 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2005 |
| Last updated in NPPES | Aug 30, 2012 |
| Reactivated | Mar 27, 2006 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT10152T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (CA); Practitioner - Optometry (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 11 across 2 procedure codes |
| Paid by Medicare | $646.80 |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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