SONYA MINHA PARK (M.D.) – Optometrist, NPI 1609819614

SONYA MINHA PARK (M.D.) is a healthcare provider. based in San jose, California. specializing in OPTOMETRY. They hold the professional credentials M.D.. They hold a License No. 4527 (MA). The NPI Number for SONYA MINHA PARK (M.D.) is 1609819614

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SONYA MINHA PARK (M.D.)
NPI
1609819614
Phone
(408) 227-7122
Address
393 BLOSSOM HILL RD
Enumeration Date
14 June 2006
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4083582029
Graduation Year
2005 (21 years ago)
PAC ID
5597856708
Group Practice PAC ID
2961459094
Professional Enrollment ID
I20140411001051
Address ID
CA951244105SA2577XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for SONYA MINHA PARK (M.D.)

  • Blossom Hill Road, San Jose, Santa Clara County, California, 95118-3935, United States

    STE 265

    SAN JOSE, CA 951231652

    Phone: (408) 227-7122

    Type: Mailing

  • 10300, South De Anza Boulevard, Cupertino, Santa Clara County, California, 95014-3010, United States

    CUPERTINO, CA 950143030

    Phone: (408) 252-7310

    Fax: (408) 257-8355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,026.

Total Amount is formed as General ($1,026) + Research ($0) + Ownership ($0) = $1,026.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($285).

Total Amount

$1,026

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,026

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140411001051IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961459094View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
-CA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm SONYA MINHA PARK (M.D.)'s NPI?
Yes. SONYA MINHA PARK (M.D.) is listed with NPI 1609819614 in the public NPI dataset.
Does the file indicate SONYA MINHA PARK (M.D.) is practicing under active NPI?
Directory data currently reports SONYA MINHA PARK (M.D.) as active.
What is SONYA MINHA PARK (M.D.)'s specialty?
The listing groups SONYA MINHA PARK (M.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does SONYA MINHA PARK (M.D.) serve?
SONYA MINHA PARK (M.D.)'s listing highlights San Jose, California; more addresses can appear in NPPES.
Is the information about SONYA MINHA PARK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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