Romy Park OD Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

522 Issued in NV

Legal business name

ROMY PARK OD PROFESSIONAL CORPORATION

Practice address

3615 S Rainbow Blvd Ste 1
Las Vegas, NV 89103-1057

Phone

(702) 641-2007

Fax

(702) 258-2006

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Romy Park, O.D.NPI 1215155254

Title

President

Phone

(702) 641-2007

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Eyedocs Care LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1619493178

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romy Park, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1215155254
  Medicare reassignment NPD Authorized official
• Kimberly M Shiraishi, O.D.

  • Optometrist
  • Honolulu, HI
  • NPI 1730439357

  NV

  Medicare reassignment NPD
• Melissa A Beaty, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1265631139
  NPD
• Carsen Popelka, OD

  • Optometrist
  • Las Vegas, NV
  • NPI 1669107298
  NPD (past)
• Duyen B Le, OD

  • Optometrist
  • Bakersfield, CA
  • NPI 1952331449
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1841402385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S RAINBOW BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031057",
            "telephone_number": "702-641-2007",
            "fax_number": "702-258-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Spring Mountain Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891028607",
            "country_code": "US",
            "telephone_number": "702-641-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROMY PARK OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ROMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-641-2007",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "26488",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "56000",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "291059",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "35421",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "1841402385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "26034",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ancilla Anna Rompala, MD
• Roms American Services LLC
• Caroline Emily R. Romualdez, APRN
• Rosa Romualdo
• Maria Dancel Romulo
• Ron Ruppert PC
• Ron T. Kassof MD PLLC
• Ron Zedek MD, PC
• Ron Zedek MD, PC, Dba: Nevada Behavioral Solutions
• Maria Cristina Rona

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.