National Provider Identifier
Justin Park, MD
Justin Park, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Rochester, NY and a listed phone number of (585) 328-0153.
Profile Overview
- NPI
- 1780075416
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- February 17, 2015
- Last Updated
- June 21, 2025
Practice Location
- 2300 Buffalo RD Bldg 700
- Rochester, NY 14624-1367
Phone: (585) 328-0153
Specialties
- Ophthalmology Physician (207W00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1780075416
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Justin
- Credential
- MD
- Mailing Street Address
- 2300 Buffalo RD Bldg 700
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1367
- Mailing Country
- US
- Practice Street Address
- 2300 Buffalo RD Bldg 700
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1367
- Practice Country
- US
- Practice Phone
- (585) 328-0153
- Enumeration Date
- February 17, 2015
- Last Updated
- June 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X), Student in an Organized Health Care Education/Training Program (390200000X)