Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Park, MD

Individual provider Ophthalmology Physician · NPI 1356401228

Dr. Lisa Park, MD is an Ophthalmology in New York, New York. Graduated from Yale University School of Medicine in 1997, 29 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Trained at
Yale University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

635 W 165th St
New York, NY 10032-3724
Phone: (212) 305-9535
Fax: (212) 305-5523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 211933 (NY)

Record details

NPI number1356401228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESFebruary 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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