AGNES PARK MD
NPI 1124829783
Ophthalmology in Boston, MA

Q: What is Agnes Park's NPI number?

The NPI number for Agnes Park is 1124829783. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Q: What is Agnes Park's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Agnes Park was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2025PECOS Enrolled

260 TREMONT ST, BOSTON, MA 02116(617) 636-4600 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Agnes Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNES PARK MD (NPI 1124829783) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (207W00000X) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124829783

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameAGNES PARKCredential: MD

Location Address260 TREMONT STBoston, MA 02116-5603

Mailing Address39 Heath St Unit 2Brookline, MA 02445-5909 · (857) 389-7124

Phone(617) 636-4600

Sole ProprietorNo

Enumeration DateMarch 20, 2025

NPPES CertifiedMarch 20, 2025

✔ NPI 1124829783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

260 TREMONT ST, Boston, MA 02116

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnes Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE LAN HUYNH MD

Ophthalmology (Glaucoma Specialist)

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (617) 636-4600

CHUKWUEMEKA JOHNSON ACHONU OD

Optometrist

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (617) 636-4600

ELIANA FIELD

Physical Therapist

260 TREMONT ST, BIEWEND 7
BOSTON, MA 02116

Suffolk County (617) 636-5175

MATTHEW PENNEY PT

Physical Therapist

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (617) 636-5175

ALLISON MARIE HYTTINEN OD

Optometrist

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (800) 231-3316

ALLISON ELIZABETH RESNIK

Student in an Organized Health Care Education/Training Program

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (176) 364-6006

JAMES TAEKYOON KWAN

Ophthalmology

260 TREMONT ST
BOSTON, MA 02116

Suffolk County (617) 636-4600

DR. BRADLEY ARVEL HANSEN M.D.

Ophthalmology

260 TREMONT ST, FLOORS 9-11
BOSTON, MA 02116

Suffolk County (617) 636-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Park's NPI number?

The NPI number for Agnes Park is 1124829783. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Agnes Park located?

Agnes Park practices at 260 Tremont St, Boston, MA 02116. The listed phone number is (617) 636-4600.

What is Agnes Park's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Agnes Park enrolled in Medicare?

Yes. Agnes Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Agnes Park was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.