Sumi Kim, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008922 Issued in IL

Practice address

1412 Butterfield Rd
Downers Grove, IL 60515-1031

Phone

(630) 627-3001

Fax

(630) 627-3021

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sumi Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Town Eye Care of Downers Grove Inc

  • Optometrist
  • Downers Grove, IL
  • NPI 1346420072
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1083737241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BUTTERFIELD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151031",
            "telephone_number": "630-627-3001",
            "fax_number": "630-627-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BUTTERFIELD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151031",
            "telephone_number": "630-627-3001",
            "fax_number": "630-627-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUMI",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMI",
            "last_name": "LEE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Elizabeth Kikilas, DC
• Matthew Kent Kilian, OTR/L
• Gloria Kim, MD
• Josie P. Kim, M.D.
• Sierra Kim, MS
• Alyssa King, RN
• Robert F King, MD
• Maricel Kinnaman, CNA
• Sara Kinney, PT, DPT
• James Daniel Kirk, D.C.

• Optometrist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.