Individual provider Active NPI

Ashley Park, OD

  • Optometrist
  • Soledad, CA
National Provider Identifier
1770183428
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34711-TLG Issued in CA
Practice address
179 Main St
Soledad, CA 93960-3023
Phone
(831) 678-2086
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34711-TLG CA Primary

Addresses

Primary practice location

179 Main St
Soledad, CA 93960-3023

Mailing address

211B El Camino Real
Greenfield, CA 93927-5125
Phone (831) 674-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220502000898 CA Practitioner - Optometry 0345637807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT34711-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Juliet del Piero, M.D., Inc., CurrentSince Dec 29, 2022 Accepting new patients
Green Valley Optometry Optometrist PastSince Nov 1, 2020 Accepting new patients
Dr Sylvia K Lee, OD, PHD Optometrist PastSince Nov 1, 2020 Accepting new patients

Locations

80 Garden Ct
Ste 103
Monterey, CA 93940
Phone (831) 375-2486

179 Main St
Soledad, CA 93960
Phone (831) 678-2086

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1770183428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211B EL CAMINO REAL",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275125",
            "telephone_number": "831-674-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603023",
            "telephone_number": "831-678-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ASHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34711-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soledad, CA

Sources for this page

Verify at the official NPI Registry.