Individual provider Active NPI

Abraham Jungmyung Park, MD

  • Ophthalmology Physician
  • Kansas City, MO
National Provider Identifier
1346530441
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2016006902 Issued in MO
Practice address
5151 NW 88TH St
Kansas City, MO 64154
Phone
(816) 746-9800
Fax
(816) 587-3555
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2016006902 MO Primary

Addresses

Primary practice location

5151 NW 88TH St
Kansas City, MO 64154

Mailing address

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160712001833 MO Practitioner - Ophthalmology 7618288689 Reassigns benefits to 1 organization
I20190701002462 CA Practitioner - Ophthalmology 7618288689 Reassigns benefits to 1 organization
I20240910004012 KS Practitioner - Ophthalmology 7618288689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moyes Eye Center, P.C.Group PAC ID 3173537800, 10 clinicians

Practice addresses (Care Compare)

1004 Progress Dr
Suite 215
Lansing, KS 66043-6323
Phone (913) 682-2900

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Hospital & facility affiliations

  • Saint John Hospital Hospital, Leavenworth, KS, CCN 170009
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016006902MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Ophthalmology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 1, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 1, 2019 Accepting new patients
Moyes Eye Center, P.C. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Bethany Eye Center, LLC Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Loma Linda, CA 92354
Phone (909) 558-2481

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

1004 Progress Dr
Ste 215
Lansing, KS 66043
Phone (913) 682-2900

2707 Miller St
Bethany, MO 64424
Phone (660) 425-8116

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

301 NE Mulberry St
Ste 101
Lees Summit, MO 64086
Phone (816) 525-3937

614 E 9th St
Trenton, MO 64683
Phone (660) 359-3957

Interoperability endpoints

  • Direct secure messaging: apark@moyeseye.direct.eyemdemr.com
  • Direct secure messaging: apark262566@direct.llu.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1346530441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "816-746-9800",
            "fax_number": "816-587-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-746-9800",
            "fax_number": "816-587-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ABRAHAM",
        "middle_name": "JUNGMYUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2016006902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.