DONG JUN JOHN PARK (M.D.) – Ophthalmology Physician, NPI 1700865052
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DONG JUN JOHN PARK (M.D.)
4605, Barranca Parkway, Woodbridge, Irvine, Orange County, California, 92604, United States
SUITE 205
IRVINE, CA 926044729
Phone: (949) 777-6883
Fax: (949) 387-1523
Type: Mailing
1310 W Stewart Dr Ste 311
Orange, CA 928683838
Phone: (949) 867-6458
Fax: (949) 629-4011
Type: Location
180 NEWPORT CENTER DR STE 170
NEWPORT BEACH, CA 926600937
Phone: (949) 777-6883
Fax: (949) 629-4011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $286.
Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Merz North America, Inc. ($227).
Total Amount
$286
General + Research + Ownership
Payments
5
Total payment records
General Amount
$286
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $227 |
| Mentor Worldwide LLC | $33 |
| REVANCE THERAPEUTICS, INC. | $26 |
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: 2013-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130520000695 | I | Plastic And Reconstructive Surgery | CA | TBD |
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.
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 92604)
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