SUZAN PARK, OD PLLC
NPI 1043838063
Optometrist in Mesquite, TX

NPI Status: Active since July 07, 2020

Contact Information

1128 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149
Phone: (972) 288-4427
Fax: (972) 285-4240

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SUZAN PARK, OD PLLC

This page provides the complete NPI Profile along with additional information for Suzan Park, Od Pllc, a provider established in Mesquite, Texas operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1043838063 assigned on July 2020. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Suzan Park Od (Owner)

NPI
1043838063
Provider Name
SUZAN PARK, OD PLLC
Entity Type
Organization
Location Address
1128 N GALLOWAY AVE MESQUITE, TX 75149
Location Phone
(972) 288-4427
Location Fax
(972) 285-4240
Mailing Address
1128 N GALLOWAY AVE MESQUITE, TX 75149
Mailing Phone
(972) 288-4427
Mailing Fax
(972) 285-4240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2020
Last Update Date
07-07-2020
Code Navigator



Suzan Park, Od Pllc is a medicare supplier with PTAN 20412539 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUZAN PARK OD

Authorized Official Title
OWNER
Authorized Official Phone
(972) 288-4427

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20412539
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

Reviews for SUZAN PARK, OD PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043838063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208316316012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 6 + 3 + 1 + 6 + 0 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1043838063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295728806 KARL F KUTCH OD
Individual
Optometrist1128 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 288-4427
1083873863 SUZAN PARK OD
Individual
Optometrist1128 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 288-4427
1972740421KARL F. KUTCH, O.D., P.C.
Organization
Optometrist1128 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 288-4427

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043838063, enumerated in the NPI registry as an "organization" on July 07, 2020

The provider is located at 1128 N Galloway Ave Mesquite, Tx 75149 and the phone number is (972) 288-4427

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 07, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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