Active NPI
Catherine Park, O.D.
- Optometrist
- Austin, TX
National Provider Identifier
1841455128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7243TG
- Practice address
- 5209 N Lamar Blvd
Austin, TX 78751-1820 - Phone
- (512) 459-5700
- NPI assigned
- Jul 25, 2008
- Last updated
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7243TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Eyecare PLLC | Optometrist | Current | 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.