Lisa Park, OD - Medicare Optometrist in Carrollton, TX

Lisa Park, OD is a medicare enrolled "Optometrist" provider in Carrollton, Texas. Her current practice location is 1428 W Hebron Pkwy Ste 125, Carrollton, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 325-2022.

Lisa Park is licensed to practice in Texas (license number 8206TG) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134484785.

Contact Information

Lisa Park, OD
1428 W Hebron Pkwy Ste 125,
Carrollton, TX 75010-6345
(972) 325-2022
Not Available



Healthcare Provider's Profile

Full NameLisa Park
GenderFemale
SpecialityOptometrist
Location1428 W Hebron Pkwy Ste 125, Carrollton, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134484785
  • Provider Enumeration Date: 07/10/2012
  • Last Update Date: 09/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365690021
  • Enrollment ID: I20120921000302

Medical Identifiers

Medical identifiers for Lisa Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134484785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 8206TG (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Park allows following entities to bill medicare on her behalf.
Provider NameMark Lynn Od And Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417055203
PECOS PAC ID: 4688679269
Enrollment ID: O20061004000066

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Park, OD
1428 W Hebron Pkwy Ste 125,
Carrollton, TX 75010-6345

Ph: (972) 325-2022
Lisa Park, OD
1428 W Hebron Pkwy Ste 125,
Carrollton, TX 75010-6345

Ph: (972) 325-2022

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Phone: 972-939-6567    Fax: 972-939-6268
J&jkim Vision Associates, Llc
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Medicare: Medicare Enrolled
Practice Location: 2625 Old Denton Rd Ste 422, Carrollton, TX 75007
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Mark A Coll, O.D.
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Practice Location: 3720 N Josey Ln Ste 114, Carrollton, TX 75007
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