Individual provider Active NPI

Catherine Park, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1841455128
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7243TG Issued in TX
Practice address
5209 N Lamar Blvd
Austin, TX 78751-1820
Phone
(512) 459-5700
NPI assigned
Jul 25, 2008
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7243TG TX Primary

Addresses

Primary practice location

5209 N Lamar Blvd
Austin, TX 78751-1820

Mailing address

5209 N Lamar Blvd
Austin, TX 78751-1820
Phone (512) 459-5700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7243TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Eyecare PLLC Optometrist CurrentSince Apr 22, 2009 Accepting new patients

Locations

5209 N Lamar Blvd
Austin, TX 78751
Phone (512) 459-5700

1000 E 41st St
Ste 120
Austin, TX 78751
Phone (512) 739-0962

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, 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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1841455128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511820",
            "telephone_number": "512-459-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511820",
            "telephone_number": "512-459-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7243TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.