DR. STELLA JAEYEUN PARK (O.D) – Optometrist, NPI 1457890543
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
Provider Addresses for DR. STELLA JAEYEUN PARK (O.D)
167 Montgomery Mall
North Wales, PA 194543911
Phone: (215) 361-8549
Type: Location
221 Easton Rd Ste 112
Warrington, PA 189762517
Phone: (215) 491-1450
Type: Location
921 PENLLYN BLUE BELL PIKE
BLUE BELL, PA 194222163
Phone: (215) 628-2020
Type: Location
56, Jasen Drive, Chalfont, Bucks County, Pennsylvania, 18914, United States
CHALFONT, PA 189144005
Phone: (215) 578-7201
Type: Mailing
West End Boulevard, Quakertown, Bucks County, Pennsylvania, 18951, United States
QUAKERTOWN, PA 189514100
Phone: (215) 536-7023
Fax: (215) 536-7212
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 $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Alcon Vision LLC ($42).
Total Amount
$118
General + Research + Ownership
Payments
5
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $42 |
| Sight Sciences, Inc. | $29 |
| ABBVIE INC. | $27 |
| Tarsus Pharmaceuticals, Inc. | $20 |
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: 2017-07-25
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 |
|---|---|---|---|---|
| I20170725000163 | I | Optometry | PA | 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 19454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA |
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