Jessica Park, OD in Glendale, AZ - Medicare Optometrist Provider

Jessica Park, OD is a medicare enrolled "Optometrist" provider in Glendale, Arizona. Her current practice location is 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 979-9830.

Jessica Park is licensed to practice in Arizona (license number 2153) 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 1487197885.

Contact Information

	Jessica Park, OD
	7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616
	(623) 979-9830
	(602) 416-4657

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Park
Gender	Female
Speciality	Optometrist
Location	7700 W Arrowhead Towne Ctr, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487197885
Provider Enumeration Date: 12/02/2016
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7517247109
Enrollment ID: I20171130001407

Medical Identifiers

Medical identifiers for Jessica Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487197885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2153 (Arizona)	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. Jessica Park allows following entities to bill medicare on her behalf.

Provider Name	Tia Leimomi-tomiko Horie
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1194012617 PECOS PAC ID: 9638341498 Enrollment ID: I20111020000622

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. Jessica 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
Jessica Park, OD 220 N Mckemy Ave, Chandler, AZ 85226-2654 Ph: (480) 961-1865	Jessica Park, OD 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616 Ph: (623) 979-9830

Reviews and Comments

Optometrist in Glendale, AZ

Dr. Margarita Alicia Coca, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308 Phone: 623-486-2020
Vt Optometry Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18551 N 83rd Ave, Glendale, AZ 85308 Phone: 623-825-9680
Dr. Diana Vega Hernandez, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7260 W Bell Rd, Glendale, AZ 85308 Phone: 623-486-1888 Fax: 623-486-8001
Krupa J Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5865 W Utopia Rd, Glendale, AZ 85308 Phone: 623-537-6000
Michael L Berger Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6677 W Thunderbird Rd #b132, Glendale, AZ 85306 Phone: 602-978-1199
Dr. Ryan Ambrose, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3870 W Happy Valley Rd Ste 150, Glendale, AZ 85310 Phone: 623-362-8642 Fax: 623-561-1190
Stacie L Westen Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5605 W Northern Ave, Glendale, AZ 85301 Phone: 623-934-6917

Jessica Park, OD - Medicare Optometrist in Glendale, AZ