MONICA PARK – Optometrist, NPI 1043067572

MONICA PARK is a healthcare provider. based in Reston, Virginia. specializing in OPTOMETRY. They hold a License No. 0618003425 (VA). The NPI Number for MONICA PARK is 1043067572

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MONICA PARK
NPI
1043067572
Phone
(703) 467-9080
Address
11656 PLAZA AMERICA DR
Enumeration Date
2 May 2024
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7034679080
Graduation Year
2024 (2 years ago)
PAC ID
6002359635
Group Practice PAC ID
1759301765
Professional Enrollment ID
I20240624001313
Address ID
VA201904700RE11656DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for MONICA PARK

  • 11656 PLAZA AMERICA DR

    RESTON, VA 201904700

    Phone: (703) 467-9080

    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 $335.

Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Alcon Vision LLC ($167).

Total Amount

$335

General + Research + Ownership

Payments

10

Total payment records

General Amount

$335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2024-06-24

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
I20240624001313IOptometryDCTBD

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 20190)

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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: 1759301765View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Is there an official ID for MONICA PARK in U.S. healthcare records?
The official identifier for MONICA PARK is NPI 1043067572.
Active or inactive — what applies to MONICA PARK?
You should see MONICA PARK as active in CMS-hosted NPPES data.
What expertise is attributed to MONICA PARK?
MONICA PARK's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Virginia is MONICA PARK registered?
Use Reston, Virginia as the headline location for MONICA PARK here.
Can I trust this NPI listing for MONICA PARK?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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