David H Park, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

38467 Issued in MN

Practice address

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085

Phone

(651) 275-3000

Fax

(651) 275-3032

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Minnesota Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.62 of 100Reported as individual

Quality

80.62

Promoting interoperability

100

Improvement activities

40

Cost

74.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.parkmd.p1@direct.associated-eyecare.nextgenshare.com
• Direct secure messaging: david.parkmd.p2@direct.associated-eyecare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: david.parkmd.p3@direct.associated-eyecare.nextgenshare.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.

• Associated Eye Care LTD

  • Optometrist
  • Stillwater, MN
  • NPI 1881699197

  Ophthalmology, WI

  Medicare reassignment Care Compare group NPD
• Minnesota Eye Consultants, PA

  • Ophthalmology Physician
  • Bloomington, MN
  • NPI 1508839879
  NPD (past)
• Associated Eye Care Optical LLC

  • Eyewear Supplier
  • Hudson, WI
  • NPI 1205214236
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1477558765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W",
            "address_2": "STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825085",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "38467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028758",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028758",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590721700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul L Paladie, MSW,LMSW, LICSW,LADC
• Joan Palen
• Brianna Lee Pankratz, APRN, CNP
• Jane Teresa Paquette
• Paragon Psychiatric Nursing Services
• Michelle Parker
• Simmy S Patel
• Sunil N Patel, MD
• Gary Paulson, LADC
• Karolyn J Paulson, OTR/L

• Ophthalmology Physician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.