Miri Park, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3834 Issued in MA

Practice address

45 Colburn Dr
Sharon, MA 02067-2969

Phone

(781) 344-3331

Fax

(781) 344-4717

NPI assigned

Oct 11, 2006

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 MA

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South East Eye Health Center IncGroup PAC ID 2668536889, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• South East Eye Health Center Inc.

  • Optometrist
  • Sharon, MA
  • NPI 1720225162
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285722447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLBURN DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672969",
            "telephone_number": "781-344-3331",
            "fax_number": "781-344-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COLBURN DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672969",
            "telephone_number": "781-344-3331",
            "fax_number": "781-344-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MIRI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy B Norton, ED.D
• Susan Hocky Novick, OTR/L
• Erin O'Neill
• Omar Salem, DMD, Ms, PC
• Meaghan J Paliotta, LMT
• Sonal Ashok Patel, RD, LDN
• Patricia Wong PHD LLC
• Patriot Eye Care LLC
• Peace & Harmony Home Care LLC
• Amanda Lee Peterson, BCBA

• Optometrist in Sharon, MA
• Providers in Sharon, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.