Active NPI
Bill M Park, O.D.
- Optometrist
- North Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046 007008
- Practice address
- 9 S Lincolnway
North Aurora, IL 60542-1608 - Phone
- (638) 844-2500
- Fax
- (630) 844-2599
- NPI assigned
- Jun 15, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- 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 | 046 007008 | IL | Primary |
Addresses
Primary practice location
9 S Lincolnway
North Aurora, IL 60542-1608
Mailing address
9 S Lincolnway
North Aurora, IL 60542-1608
Phone (638) 844-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9 S Lincolnway
North Aurora, IL 60542-1608
Phone (630) 844-2500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046 007008 | IL | MD | Optometrist |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- North Aurora, IL
- NPI 1194031484
-
- Optometrist
- North Aurora, IL
- NPI 1275568073
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": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1912902115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 S LINCOLNWAY",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421608",
"telephone_number": "638-844-2500",
"fax_number": "630-844-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 S LINCOLNWAY",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421608",
"telephone_number": "638-844-2500",
"fax_number": "630-844-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "BILL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046 007008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
- 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.