Stephanie Yunsun Park, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TU005133-1 Issued in NY

Practice address

28 W 32ND St
New York, NY 10001-3821

Phone

(212) 868-3310

NPI assigned

Feb 14, 2008

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 NY

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.

• Eyes on Bell Inc

  • Optometrist
  • Bayside, NY
  • NPI 1306421078
  Medicare reassignment NPD
• Little Miss Optical Inc

  • Optometrist
  • Little Neck, NY
  • NPI 1073370789
  Medicare reassignment NPD
• Ekoptix Inc

  • Eyewear Supplier
  • Bayside, NY
  • NPI 1306232657
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1649448333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24631 51ST AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013821",
            "telephone_number": "212-868-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "STEPHANIE",
        "middle_name": "YUNSUN",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU005133-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Park, NP
• Soojin Park, MD
• Soomin Park
• Sooyun Park
• Soyoung Mary Park
• Sujin Park
• Sun Joo Park, DDS
• Sung Chul Park, MD
• Sung Il Park, NP
• Sung Min Park

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.