Dorothy J Park, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

858 Issued in SC

Practice address

1818 Hampton St
Columbia, SC 29201-3534

Phone

(803) 254-6306

Fax

(803) 771-6745

NPI assigned

Dec 5, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Park & Phillips Eye Care PA

  dba Dr Dorothy Park & Associates

  • Optometrist
  • Columbia, SC
  • NPI 1902828585
  Medicare reassignment NPD
• Carolina Eye Care of Sumter

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1447449335
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1932183852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013534",
            "telephone_number": "803-254-6306",
            "fax_number": "803-771-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013534",
            "telephone_number": "803-254-6306",
            "fax_number": "803-771-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D08588",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57-1062179",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard T Pardue, RT(R) (MR)
• Courtney Parigi Parent, CRNA
• Parentingpartners
• Pooja Parikh, DO
• Park & Phillips Eye Care PA (Dr Dorothy Park & Associates)
• Hanjin Park Park
• Joseph Won-Joon Park, D.M.D
• Sohee Kim Park, DMD, MHS
• Karen Carole Parker Williams, PT
• Anna Parker, RN

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.

Verify at the official NPI Registry.