William C. Park, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036.121758 Issued in IL

Practice address

1300 N Highland Ave Ste 1
Aurora, IL 60506-1481

Phone

(630) 897-5104

Fax

(630) 897-5089

NPI assigned

Aug 29, 2008

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aurora Eye Clinic LTDGroup PAC ID 2769384163, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.park.p1@direct.auroraeyeclinic.nextgenshare.com

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.

• Aurora Eye Clinic LTD

  dba Aurora Eye Clinic

  • Ophthalmology Physician
  • Aurora, IL
  • NPI 1992776322
  Medicare reassignment Care Compare group NPD
• Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1669498267
  NPD
• Northwest Eye Physicians Surgery Suite LLC

  • Ambulatory Surgical Clinic/Center
  • Arlington Heights, IL
  • NPI 1194455998
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1942458237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE STE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061481",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE STE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061481",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.121758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC GROUP",
            "identifier": "CC2168",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121758",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362765923",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS PROVIDER NUMBER",
            "identifier": "542440001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00819332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binita D Parikh, M.D
• Parin K Desai DDS PC (Dover Dental)
• Kendall Jaye Paris
• Park West Medical & Pain Clinic LTD
• Emily Park
• Carolyn Parke
• Antwan Parker
• Steven William Parkes, M.D.
• Mary L. Parkhurst, DDS
• Francesca Elise Parrillo, RBT

• Ophthalmology Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.