Robert Park, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA2145 Issued in GA

Practice address

3385 Woodward Crossing Blvd
Suite 350
Buford, GA 30519-4947

Phone

(770) 831-1010

NPI assigned

May 25, 2006

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

Medicare fee-for-service enrollment

Enrolled in GA

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

State licenses

Practice roles

Locations

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.

• United Optics LLC

  • Optometrist
  • Snellville, GA
  • NPI 1982074993
  Medicare reassignment NPD
• Clinton Resources Inc

  • Optometrist
  • Cumming, GA
  • NPI 1871780775
  NPD (past)
• Modern Eyes of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1982831756
  NPD (past)
• Mog Vision Center Inc

  • Optometrist
  • Lawrenceville, GA
  • NPI 1437346335
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497701353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 WOODWARD CROSSING BLVD",
            "address_2": "SUITE 350",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194947",
            "telephone_number": "770-831-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 WOODWARD CROSSING BLVD",
            "address_2": "SUITE 350",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194947",
            "telephone_number": "770-831-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson O Palmer, NP-C
• Lou Pampena, D.C.
• Roni Pandi, CSFA
• Jung Min Park
• Meekyung Park
• Parke Dixon Speech Factory
• Kathryn Parker, MS-OTR/L
• Meliha Tava Parks
• Scott Gary Parsons, M.D.
• Akash Patel

• Optometrist in Buford, GA
• Providers in Buford, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.