Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stella Jaeyeun Park, OD

Individual provider Optometrist · NPI 1457890543

Dr. Stella Jaeyeun Park, OD is an Optometry in Blue Bell, Pennsylvania. Graduated from Pennsylvania College of Optometry in 2016, 10 years ago. Practices with Provision Eye Associates, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2017
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

921 Penllyn Blue Bell Pike
Blue Bell, PA 19422-2163
Phone: (215) 628-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 167 Montgomery Mall, North Wales, PA 19454-3911 — (215) 361-8549
  • 221 Easton Rd Ste 112, Warrington, PA 18976-2517 — (215) 491-1450

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG003241 (PA)

Record details

NPI number1457890543
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Provision Eye Associates — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blue Bell