Elisse Park, MD
Ophthalmology in Fairfield, Connecticut
1366947061- Practice location
- 2371 Black Rock Turnpike, Fairfield, CT 06825
- Phone
- 203-371-0141
- Fax
- —
- Last updated
- September 12, 2022
Elisse Park is an Ophthalmology based in Fairfield, CT. Elisse Park practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Elisse Park is 1366947061 and holds a License No. 70012 (CT). The current practice location address for Elisse Park is 2371 Black Rock Turnpike, Fairfield, CT 06825 and can be reached out via phone at 203-371-0141.
Provider Profile Details
- NPI Number
- 1366947061
- Provider Name
- Elisse Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2371 Black Rock Turnpike, Fairfield, CT 06825
- Phone Number
- 203-371-0141
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2018
- Last Update Date
- September 12, 2022
- Certification Date
- September 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2371 Black Rock Turnpike
Fairfield, CT 06825 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825
- Phone Number
- 203-371-0141
Provider Business Mailing Address Details
- Address
- 2371 Black Rock Turnpike
Fairfield, CT 06825 - City
- Fairfield
- State
- CT
- Zip
- 06825
- Phone Number
- 203-371-0141
License Information
- License Number
- 70012
- License State
- CT
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Ophthalmology providers near Fairfield, CT
View all Ophthalmology providers in Fairfield →- Adam Goldman, MDOphthalmology · NPI 1457931974
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- Dr. George A Bullwinkel Jr., MDOphthalmology · NPI 1205917069
- Dr. Jeffrey L Oberman, MDOphthalmology · NPI 1033171608
- Dr. Jessica A Schonfeld, MDOphthalmology · NPI 1790949774
- Dr. Joanna L Sarracino, MDOphthalmology · NPI 1841223484
Frequently Asked Questions
What is the NPI number of Elisse Park, MD?
The NPI number of Elisse Park, MD is 1366947061. It was assigned on March 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Elisse Park, MD?
Elisse Park, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in CT under license number 70012.
Where does Elisse Park, MD practice?
The practice location is 2371 Black Rock Turnpike, Fairfield, CT 06825. The office can be reached at 203-371-0141 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366947061 directly on the NPPES registry website.