Elli Ann Park

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1023075 Issued in MA

Practice address

850 Harrison Ave # Acc-3
Boston, MA 02118-4001

Phone

(617) 414-4020

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Ophthalmology

Education

Boston University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boston Medical Center Hospital, Boston, MA, CCN 220031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epark89969@direct.med.miami.edu

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.

• Boston University Eye Associates, Inc.

  • Ophthalmology Physician
  • Taunton, MA
  • NPI 1154317865
  Medicare reassignment NPD
• Boston University Eye Associates, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1285691337
  Medicare reassignment NPD
• Boston University Eye Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Raynham, MA
  • NPI 1679531610
  NPD

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

• Boston Medical Center

  • Clinic/Center
  • Dorchester, MA
  • NPI 1487844726

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1164177028
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • South Boston, MA
  • NPI 1225228679

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Roslindale, MA
  • NPI 1386718823

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1780874677

  Hospital

  Care Compare affiliation
• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1861683518

  Hospital

  Care Compare affiliation
• Medical Associates of Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1255451597

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1346827672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE # ACC-3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE # ACC-3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELLI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1023075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Park, MD
• Diana Park, RN
• Dongchan Park, M.D
• Dongwoo Park, DDS DMD MSD
• Elizabeth Park, M.D.
• Elyse R Park, PHD
• Ha Bin Park
• Hae Soo Park
• Haeseong Park, MD
• Han NA Park, P.A-C

• Ophthalmology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.