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

Heidi M Park, OD

Individual provider Optometrist · NPI 1710902721

Heidi M Park, OD is an Optometry in Elkhart, Indiana. Qualified in 2006, 20 years ago. Practices with Nappanee Family Eyecare PC, a 3-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2006
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

3701 S Main St
Elkhart, IN 46517-3106
Phone: (574) 875-8511
Fax: (574) 875-8763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18003405 A (IN)

Record details

NPI number1710902721
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Nappanee Family Eyecare Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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