Joann Park, O.D.

Individual provider Active NPI Optometrist · Tysons Corner, VA

NPI 1780965327 · NPPES record last updated Apr 16, 2026

Key facts

NPI
1780965327
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
0618002483 (VA)
Practice address
8100 Boone Blvd Ste 150
Tysons Corner, VA 22182-2629
Phone
(703) 991-2766
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0618002483VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Annela Arredondo & Associates, PA Optometrist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002483 VA Yes

Addresses

Primary practice location

8100 Boone Blvd Ste 150
Tysons Corner, VA 22182-2629

Mailing address

8100 Boone Blvd Ste 150
Tysons Corner, VA 22182-2629
Phone (703) 991-2766

Other providers in Tysons Corner, VA

All providers in Tysons Corner, VA · Optometrist in Virginia

Sources for this page

Verify at the official NPI Registry.