Jonathan D Park, OD

Optometrist in Irving, Texas · NPI 1063572279

Jonathan Park is one of 22 optometrists practicing in Irving, Texas. Jonathan Park practices with Med Southwest PLLC.

Registry record (NPPES)

NPI
1063572279
Type
Type 1 · Individual
Primary taxonomy
Optometrist · 152W00000X
Address on file
7457 Las Colinas Blvd
Irving, TX 75063-7561
(214) 382-3061
Enumerated
Dec 11, 2006
Record last updated
Feb 21, 2022
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Optometry
Revalidation due
No date set by CMS

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Practice locations

More optometrists in Irving

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.