Susie H Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4757 Issued in OH

Practice address

1558 Akron Peninsula Rd
Akron, OH 44313-5154

Phone

(330) 922-0828

Fax

(330) 922-1727

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1225079841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 AKRON PENINSULA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135154",
            "telephone_number": "330-922-0828",
            "fax_number": "330-922-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 AKRON PENINSULA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135154",
            "telephone_number": "330-922-0828",
            "fax_number": "330-922-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSIE",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert B Kim, MD
• David Kim
• Dwight E Kim, LSW
• Hyunyoung Kim, DO
• Jinhyuk Kim, D.M.D.
• Riley Paul Kimball, MSN, FNP-BC
• Jordan Kimber, LSW
• Kimberly S. Kemper, DPM, Inc
• David R. Kimberly, DDS, MD
• Michael Andrew Kimberly, D.D.S.

• Optometrist in Akron, OH
• Providers in Akron, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.