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

Jonathan D Park, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1063572279

Jonathan D Park, OD is an Optometry in Irving, Texas. Graduated from University of Houston - College of Optometry in 2002, 24 years ago. Practices with Med Southwest PLLC, a 226-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2006
Specialties on file
2
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

7457 Las Colinas Blvd #100
Irving, TX 75063-7561
Phone: (214) 382-3061
Fax: (214) 382-3071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6272TG (TX)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 6272TG (TX)

Record details

NPI number1063572279
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 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 schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2002 (24 years in practice)
Group practice Med Southwest Pllc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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