DR. ROY EDWARD PARK (OD) – Optometrist, NPI 1861596447

DR. ROY EDWARD PARK (OD) is a healthcare provider. based in Ashburn, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618001310 (VA). The NPI Number for DR. ROY EDWARD PARK (OD) is 1861596447

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY EDWARD PARK (OD)
NPI
1861596447
Phone
(703) 724-0330
Address
43480 YUKON DR
Enumeration Date
12 September 2006
Last Update Date
19 April 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7037240330
Graduation Year
2000 (26 years ago)
PAC ID
7214905157
Group Practice PAC ID
6709946254
Professional Enrollment ID
I20081113000787
Address ID
VA201477315AS43490DRXX301
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

1,052 OPTOMETRY in VA

Provider Addresses for DR. ROY EDWARD PARK (OD)

  • 43480 YUKON DR

    SUITE 214

    ASHBURN, VA 201476988

    Phone: (703) 724-0330

    Fax: (703) 724-0811

    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 25 Open Payments records for all available years, with a total value of $627.

Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($261).

Total Amount

$627

General + Research + Ownership

Payments

25

Total payment records

General Amount

$627

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2008-11-13

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
I20081113000787IOptometryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2622$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 20147)

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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: 6709946254View full group profile
NameSpecialtyState
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

Does DR. ROY EDWARD PARK (OD) have a public NPI I can cite?
Public records show DR. ROY EDWARD PARK (OD) under NPI 1861596447.
Is DR. ROY EDWARD PARK (OD)'s NPI status active today?
Active status means DR. ROY EDWARD PARK (OD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. ROY EDWARD PARK (OD)'s specialty?
The extract shows Optometrist for DR. ROY EDWARD PARK (OD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ROY EDWARD PARK (OD)?
DR. ROY EDWARD PARK (OD) shows a connection to Ashburn, Virginia in registry-derived data.
Why is information missing for DR. ROY EDWARD PARK (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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