Jonathan D Park, OD | |
7457 Las Colinas Blvd, #100, Irving, TX 75063-7561 | |
(214) 382-3061 | |
(214) 382-3071 |
Full Name | Jonathan D Park |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 7457 Las Colinas Blvd, Irving, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063572279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 6272TG (Texas) | Secondary |
152W00000X | Optometrist | 6272TG (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Med Southwest Pllc | 4082952874 | 177 |
Provider Name | Med Southwest Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481 |
Mailing Address | Practice Location Address |
---|---|
Jonathan D Park, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Jonathan D Park, OD 7457 Las Colinas Blvd, #100, Irving, TX 75063-7561 Ph: (214) 382-3061 |
Ricardo Rodriguez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5225 Las Colinas Blvd Apt 4060, Irving, TX 75039 Phone: 818-854-5651 | |
Lasercare Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 440 W Lyndon B Johnson Fwy, Irving, TX 75063 Phone: 214-574-9600 Fax: 214-574-9601 | |
Linh Ly, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7457 Las Colinas Blvd # 100, Irving, TX 75063 Phone: 214-382-3061 Fax: 214-382-3071 | |
Dr. Kimberly Mclean, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3341 Regent Blvd Ste 120, Irving, TX 75063 Phone: 972-910-8829 | |
Vielma Vision Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2412 Irving Mall, Irving, TX 75062 Phone: 972-258-2222 | |
Tim Nguyen, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3626 Irving Mall, Irving, TX 75062 Phone: 972-870-0520 Fax: 972-870-0529 |