Charles Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006204 Issued in NY

Practice address

94-07A 46 Avenue
2ND Floor
Elmhurst, NY 11373

Phone

(917) 385-7829

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sangha Optical Inc.

  • Prosthetic/Orthotic Supplier
  • South Richmond Hill, NY
  • NPI 1235331307
  Medicare reassignment NPD
• Queens Optometry and Ophthalmic Dispensing PLLC

  • Optometrist
  • Jackson Heights, NY
  • NPI 1649873795
  NPD
• Hights Optical Inc

  • Optometrist
  • Elmhurst, NY
  • NPI 1598330110
  NPD (past)
• Jackson Heights Vision Express LLC

  • Eyewear Supplier
  • Jackson Heights, NY
  • NPI 1619574506

  Optometrist

  NPD (past)
• Modern Physician Services PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1932590601
  NPD (past)
• Opticlear Vision Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1033974795
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1043420268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BENRIS AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-07A 46 AVENUE",
            "address_2": "2ND FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-385-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6514 Bay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112043931",
            "country_code": "US",
            "telephone_number": "917-933-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13360 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555852",
            "country_code": "US",
            "telephone_number": "917-908-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 Broadway",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735609",
            "country_code": "US",
            "telephone_number": "718-406-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riddhi Khose
• Bhupinder Khurana, M.D.
• Kids Dental of Queens PC
• Brian Dongha Kim, M.D.
• Byung Moon Kim, M.D.
• Daniel Kim
• David-Changsoo Kim, MD
• Huhjin Kim
• Hyeong Chan Kim, D.D.S., PH.D.
• Hyo S Kim, MD

• Optometrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.