Active NPI
Hannah Jiyoung Lee Park, OD
- Optometrist
- Plainview, NY
National Provider Identifier
1841254216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- UUT0065221
- Practice address
- 1004 Old Country Rd
Davis Vision
Plainview, NY 11803-4917 - Phone
- (516) 681-1161
- Fax
- (516) 942-7582
- NPI assigned
- Apr 13, 2006
- Last updated
- Jul 13, 2026
- 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 | UUT0065221 | NY | Primary |
Addresses
Primary practice location
1004 Old Country Rd
Davis Vision
Plainview, NY 11803-4917
Mailing address
2921 Erie Blvd E
Syracuse, NY 13224-1430
Phone (315) 445-7465
Other names 1
- Hannah Jiyoung Park
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UUT0065221 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841254216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 OLD COUNTRY RD",
"address_2": "DAVIS VISION",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034917",
"telephone_number": "516-681-1161",
"fax_number": "516-942-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE PARK",
"first_name": "HANNAH",
"middle_name": "JIYOUNG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "UUT0065221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "PARK",
"middle_name": "JIYOUNG",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.