Kristin Frances Park, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003578 Issued in CO

Practice address

180 Ken Pratt Blvd Ste 200
Longmont, CO 80501-8974

Phone

(303) 776-4309

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpark@coloradoophthalmology.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optometric Associates PC

  • Optometrist
  • Longmont, CO
  • NPI 1730299116
  Medicare reassignment NPD
• Colorado Ophthalmology Associates PC

  • Specialist
  • Denver, CO
  • NPI 1659552040
  NPD
• Colorado Ophthalmology Associates PC

  • Specialist
  • Lakewood, CO
  • NPI 1740571322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1164046629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MCCASLIN BLVD",
            "address_2": "APT 207",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272918",
            "telephone_number": "925-876-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KEN PRATT BLVD STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018974",
            "telephone_number": "303-776-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KRISTIN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Parece, MSW
• Mansi B Parikh, MD
• Providence Parish
• Andrew Park, M.D.
• Dianne M Park
• Michael Allen Park, DDS
• Ruth Parker, RPH
• Robyn Parkinson
• Mark J. Parsons, CRNA
• Suzanne Lynne Parsons, M.D.

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.