Active NPI
Michael Robert Park
- Hearing Instrument Specialist
- Lubbock, TX
National Provider Identifier
1962366237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 81194
- Practice address
- 8215 University Ave Ste 100
Lubbock, TX 79423-3169 - Phone
- (806) 698-1083
- NPI assigned
- Dec 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 81194 | TX | Primary |
Addresses
Primary practice location
8215 University Ave Ste 100
Lubbock, TX 79423-3169
Mailing address
10100 E PR 5150
Petersburg, TX 79250
Phone (806) 777-2695
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81194 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1962366237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 E PR 5150",
"city": "PETERSBURG",
"state": "TX",
"postal_code": "79250",
"telephone_number": "806-777-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 UNIVERSITY AVE STE 100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794233169",
"telephone_number": "806-698-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-11",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "81194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.