Dr Irene Minjee Park, OD in Ontario, CA - Medicare Optometrist Provider

Dr Irene Minjee Park, OD is a medicare enrolled "Optometrist" provider in Ontario, California. Her current practice location is 1131 W 6th St Ste 150, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 986-0918.

Dr Irene Minjee Park is licensed to practice in California (license number 34547) 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 1699391631.

Contact Information

	Dr Irene Minjee Park, OD
	1131 W 6th St Ste 150, Ontario, CA 91762-1116
	(909) 986-0918
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Irene Minjee Park
Gender	Female
Speciality	Optometrist
Location	1131 W 6th St Ste 150, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699391631
Provider Enumeration Date: 06/24/2020
Last Update Date: 08/21/2020

Medicare PECOS Information:

PECOS PAC ID: 2163849977
Enrollment ID: I20221014002213

Medical Identifiers

Medical identifiers for Dr Irene Minjee Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699391631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34547 (California)	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. Dr Irene Minjee Park allows following entities to bill medicare on her behalf.

Provider Name	Spectrum Eyecare Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801949573 PECOS PAC ID: 5193821353 Enrollment ID: O20070503000592

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. Dr Irene Minjee 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 Address	Practice Location Address
Dr Irene Minjee Park, OD 5859 Spring St, Buena Park, CA 90621-4737 Ph: (909) 706-7213	Dr Irene Minjee Park, OD 1131 W 6th St Ste 150, Ontario, CA 91762-1116 Ph: (909) 986-0918

Reviews and Comments

Optometrist in Ontario, CA

Flow Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Mills Cir, 1016, Ontario, CA 91764 Phone: 909-481-1083 Fax: 909-484-2060
Simpson & Duran Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 W 6th St, Suite 150, Ontario, CA 91762 Phone: 909-986-0918 Fax: 909-984-4918
Dr. Vinnie Tieu, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4275 Concours Ste 100, Ontario, CA 91764 Phone: 909-476-7768 Fax: 909-476-7396
Sara Drake, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2156 E Alondra St, Ontario, CA 91764 Phone: 909-717-9636
Elizabeth Anne Simpson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 W 6th St, Suite 150, Ontario, CA 91762 Phone: 909-986-0918 Fax: 909-984-4918
Dr. Li Jung Wang, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3200 Inland Empire Blvd Ste 140, Ontario, CA 91764 Phone: 800-805-2737
Jason Kang Lee, Optometrist Medicare: Medicare Enrolled Practice Location: 3155 Sedona Ct Ste 100, Ontario, CA 91764 Phone: 909-698-9780 Fax: 909-974-0356

Dr Irene Minjee Park, OD - Medicare Optometrist in Ontario, CA