Lisa Park, OD in Carrollton, TX - Medicare Optometrist Provider

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

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Park
Gender	Female
Speciality	Optometrist
Location	1428 W Hebron Pkwy Ste 125, Carrollton, Texas
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1134484785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	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 Name	Mark Lynn Od And Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417055203 PECOS PAC ID: 4688679269 Enrollment ID: O20061004000066

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 Address	Practice 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

Reviews and Comments

Optometrist in Carrollton, TX

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Dr. Mary Anne Peck, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3012 E. Hebron Parkway, Suite 100, Carrollton, TX 75010 Phone: 972-307-5000 Fax: 972-307-7717
Mark A Coll, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3720 N Josey Ln Ste 114, Carrollton, TX 75007 Phone: 972-395-8434 Fax: 972-395-8433

Lisa Park, OD - Medicare Optometrist in Carrollton, TX