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

Elisse Park, MD

Individual provider Ophthalmology Physician · NPI 1366947061

Elisse Park, MD is an Ophthalmology in Fairfield, Connecticut. Graduated from Georgetown University School of Medicine in 2018, 8 years ago. Practices with Ophthalmic Surgeons of Gr Bpt PC, a 6-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Trained at
Georgetown University School of Medicine
Licensed in
CT
In the registry since
2018
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

2371 Black Rock Tpke
Fairfield, CT 06825
Phone: (203) 371-0141
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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 70012 (CT)

Record details

NPI number1366947061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ophthalmic Surgeons Of Gr Bpt Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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