Active NPI
Terry Park
- Optometrist
- Buffalo, NY
National Provider Identifier
1699329714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008958
- Practice address
- 7088 Transit Rd
Buffalo, NY 14221-7214 - Phone
- (716) 632-5497
- NPI assigned
- Jul 26, 2019
- Last updated
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008958 | NY | Primary |
Addresses
Primary practice location
7088 Transit Rd
Buffalo, NY 14221-7214
Mailing address
7088 Transit Rd
Buffalo, NY 14221-7214
Phone (716) 632-5497
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191127001420 | NY | Practitioner - Optometry | 3779916010 | Practice locations: Tonawanda, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008958 | NY | MD | Mental Health Counselor |
| TUV008958 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am-Clar Optical, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1699329714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7088 TRANSIT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142217214",
"telephone_number": "716-632-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7088 TRANSIT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142217214",
"telephone_number": "716-632-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "TERRY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.