Mrs Tracy Tom Park, OD in Garden Grove, CA - Medicare Optometrist Provider

Mrs Tracy Tom Park, OD is a medicare enrolled "Optometrist" provider in Garden Grove, California. Her current practice location is 12302 Garden Grove Blvd, Suite 6, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 590-2020.

Mrs Tracy Tom Park is licensed to practice in California (license number 14009) 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 1770896011.

Contact Information

	Mrs Tracy Tom Park, OD
	12302 Garden Grove Blvd, Suite 6, Garden Grove, CA 92843-1802
	(714) 590-2020
	(714) 590-2044

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy Tom Park
Gender	Female
Speciality	Optometrist
Location	12302 Garden Grove Blvd, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770896011
Provider Enumeration Date: 07/15/2010
Last Update Date: 06/09/2014

Medicare PECOS Information:

PECOS PAC ID: 8921124819
Enrollment ID: I20100928001628

Medical Identifiers

Medical identifiers for Mrs Tracy Tom Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770896011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	14009 (California)	Primary

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. Mrs Tracy Tom 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
Mrs Tracy Tom Park, OD 12302 Garden Grove Blvd, Suite 6, Garden Grove, CA 92843-1802 Ph: (714) 590-2020	Mrs Tracy Tom Park, OD 12302 Garden Grove Blvd, Suite 6, Garden Grove, CA 92843-1802 Ph: (714) 590-2020

Reviews and Comments

Optometrist in Garden Grove, CA

Dr. Murray Taubman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12568 Valley View St, Garden Grove, CA 92845 Phone: 714-894-3353 Fax: 714-373-0670
Eastgate Optometry Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11893 Valley View St, Garden Grove, CA 92845 Phone: 714-373-2020
Sally Oeung, Od Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11822 Gilbert St, Garden Grove, CA 92841 Phone: 714-636-8850 Fax: 714-636-8856
Iexam Optometry, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9856 Westminster Ave # 125, Garden Grove, CA 92844 Phone: 714-530-0751
Dr. Ngoc-thuy Trina Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10872 Westminster Ave, Ste 112, Garden Grove, CA 92843 Phone: 714-636-9585 Fax: 714-636-2465
Dr. Kathryn Thanh Pham, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8942 Garden Grove Blvd, Ste 104, Garden Grove, CA 92844 Phone: 714-638-0852
Thien-anh Cao, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9856 Westminster Ave Ste 125, Garden Grove, CA 92844 Phone: 714-530-0751

Mrs Tracy Tom Park, OD - Medicare Optometrist in Garden Grove, CA