MIRI PARK (OD) – Optometrist, NPI 1285722447

MIRI PARK (OD) is a healthcare provider. based in Sharon, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3834 (MA). The NPI Number for MIRI PARK (OD) is 1285722447

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MIRI PARK (OD)
NPI
1285722447
Phone
(781) 344-3331
Address
45 COLBURN DR
Enumeration Date
11 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
7817844733
Graduation Year
1987 (39 years ago)
PAC ID
2961402029
Group Practice PAC ID
2668536889
Professional Enrollment ID
I20070115000091
Address ID
MA020672057SH88XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for MIRI PARK (OD)

  • 45, Colburn Drive, Sharon, Norfolk County, Massachusetts, 02067, United States

    SHARON, MA 020672969

    Phone: (781) 344-3331

    Fax: (781) 344-4717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($157).

Total Amount

$445

General + Research + Ownership

Payments

10

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-01-15

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
I20070115000091IOptometryMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5757$0
92250Photography of the retina3836$0
99213Established patient office or other outpatient visit, 20-29 minutes2318$0
92004New patient complete exam of visual system2121$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 02067)

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Reviews

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Frequently asked questions

How do I look up MIRI PARK (OD) by NPI?
Use NPI 1285722447 when you need to reference MIRI PARK (OD) in forms, claims, or directories.
Is MIRI PARK (OD) active in the national directory?
MIRI PARK (OD)'s public NPI profile is in an active state.
What kind of provider is MIRI PARK (OD)?
The page reflects Optometrist for MIRI PARK (OD). Clinical services aligned with this taxonomy classification.
Does MIRI PARK (OD) practice in Massachusetts?
You will see Sharon, Massachusetts on file for MIRI PARK (OD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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