So Ri Park, DOCTOR OF OPTOMETRY

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003836 Issued in PA

Practice address

1880 Kenneth Rd Ste 1
York, PA 17408-6344

Phone

(717) 767-2000

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

Yes

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 PA

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yardley Eye Care LLCGroup PAC ID 3375776362, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.08 of 100Reported as group

Quality

85.29

Promoting interoperability

100

Improvement activities

40

Cost

64.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spark@vip.emadirect.md

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.

• Yardley Eye Care, LLC

  • Optometrist
  • Yardley, PA
  • NPI 1932521341
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1790458487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N NEWKIRK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212714",
            "telephone_number": "646-460-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 KENNETH RD STE 1",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174086344",
            "telephone_number": "717-767-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 E Market St Bldg B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022406",
            "country_code": "US",
            "telephone_number": "717-600-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "SO RI",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamid Parakhoodi, MD
• Vatsala Devi Parchuri, M.D.
• Robert Ian Pargament, MD
• Falguni Ketan Parikh, M.D.
• Jae Yoon Park, MD
• Erika Mowen Parker, DDS
• Jordan Parker, MD
• Kerry Beth Parker, CNM
• Ashley Landis Parks, DO
• Brandon Parkyn, CRNP

• All providers in York, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.