Gloria Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270OA00635500 Issued in NJ

Practice address

543 River Rd
Edgewater, NJ 07020-1146

Phone

(201) 654-9127

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

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.

• Belight Eyecare LLC

  • Optometrist
  • Edgewater, NJ
  • NPI 1114616919
  Medicare reassignment
• Dr. Alan Ross OD PA

  • Health Maintenance Organization
  • Closter, NJ
  • NPI 1386920429
  NPD (past)
• Eyecare One LLC

  • Optometrist
  • Paramus, NJ
  • NPI 1780794768
  NPD (past)
• Professional Eyecare Associates PA

  • Optometrist
  • Paramus, NJ
  • NPI 1497865463
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1104101492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201146",
            "telephone_number": "201-654-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201146",
            "telephone_number": "201-654-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "GLORIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00635500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270OA00635500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon M Kaplan, M.D.
• Cecilia Kalijman Karol, MD
• Nina Chanpreet Kaur, CHHP., CBC., CD.
• Irina Kazbanov, DMD
• Andrew S Kim
• Gloria Kim
• Jeannie S. Kim, M.S. CCC-SLP
• Jungran Kim, PHARMD
• Kristen Kim
• Melanie Yonmi Kim, DMD

• Optometrist in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.