Justin Park, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301506332 Issued in MI

Practice address

2300 Buffalo Rd BLDG 700
Rochester, NY 14624-1367

Phone

(585) 328-0153

NPI assigned

Feb 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Northwestern University Feinberg Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steve B. Park MD PCGroup PAC ID 0446219372, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justinp@cornerstoneeye.medentdirect.com

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.

• Steve B. Park, MD PC

  • Optometrist
  • Rochester, NY
  • NPI 1235246984

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Greece ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Rochester, NY
  • NPI 1780206292
  Medicare reassignment NPD
• Steve B. Park, MD PC

  • Eyewear Supplier
  • Victor, NY
  • NPI 1750867313
  NPD

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1780075416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301506332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jae-Min Park, MD
• Bonnie Changhee Park, PH.D.
• Clare Park, D.O.
• Ellen Park, D.D.S.
• Joo Hyoung Park
• Lauren Park
• Nicole Park, RN
• Steve Byongkoo Park, MD
• Sylvia Woo Park, MD
• Wan Yang Park, MD

• Ophthalmology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.