Individual provider Active NPI

Jean Park, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Baltimore, MD
National Provider Identifier
1508229832
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
D0091817 Issued in MD
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

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623001885 DC Practitioner - Ophthalmology 7911285077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

Practice addresses (Care Compare)

1160 Varnum St NE
Suite 11
Washington, DC 20017-2110
Phone (202) 529-5200

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
63.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091817MDMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Eye Care and Laser Center LLC CurrentSince Aug 1, 2021 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

  • Direct secure messaging: jpark88427@direct.virginiahospitalcenter.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.