Active NPI
Jean Park, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- D0091817
- Practice address
- 3110 Lord Baltimore Dr Ste 103
Baltimore, MD 21244-2644 - Phone
- (410) 277-3937
- Fax
- (410) 281-9388
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | D0091817 | MD | Primary |
Addresses
Primary practice location
3110 Lord Baltimore Dr Ste 103
Baltimore, MD 21244-2644
Mailing address
2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1160 Varnum St NE
Suite 11
Washington, DC 20017-2110
Phone (202) 529-5200
Hospital & facility affiliations
- Virginia Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0091817 | MD | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Eye Care and Laser Center LLC | Current | Accepting new patients |
Locations
1160 Varnum St NE
Ste 11
Washington, DC 20017
Phone (202) 529-5200
2002 Medical Pkwy
Ste 320
Annapolis, MD 21401
2661 Riva Rd
Ste 1030
Annapolis, MD 21401
5454 Wisconsin Ave
Ste 1420
Chevy Chase, MD 20815
Phone (301) 718-8616
3110 Lord Baltimore Dr
Ste 103
Windsor Mill, MD 21244
Phone (410) 277-3937
1635 N George Mason Dr
Ste 100
Arlington, VA 22205
Phone (703) 524-5777
6845 Elm St
McLean, VA 22101
Phone (703) 356-6880
6845 Elm St
Ste 250
McLean, VA 22101
Phone (703) 356-5484
Interoperability endpoints
- jpark88427@direct.virginiahospitalcenter.net
- jpark@vip.emadirect.md
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1508229832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 RIVA RD STE 1030",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017131",
"telephone_number": "667-354-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 LORD BALTIMORE DR STE 103",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442644",
"telephone_number": "410-277-3937",
"fax_number": "410-281-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "MD",
"license": "D0091817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.