Eileen J Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

006580 Issued in NY

Practice address

4161 Kissena Blvd
Entrance on Barclay Ave.
Flushing, NY 11355-3105

Phone

(718) 539-9254

NPI assigned

Nov 16, 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

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooklyn Ophthalmology PLLCGroup PAC ID 3971817461, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brooklyn Ophthalmology PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1104205780
  Medicare reassignment Care Compare group NPD
• Olivias Optical Inc

  • Optometrist
  • Flushing, NY
  • NPI 1881571693
  Medicare reassignment NPD
• New York Eye Care & Surgery PC

  • Ophthalmology Physician
  • Great Neck, NY
  • NPI 1386023844
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1285707463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 35TH ST",
            "address_2": "#2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164240",
            "telephone_number": "646-269-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "ENTRANCE ON BARCLAY AVE.",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-539-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EILEEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dohyung Kim, PT
• Donald Kim, D.M.D.
• Donald D Kim, O.D.
• Dong Kim, RPH
• Dong Arm Kim
• Ellen Kim, RN
• Eun Hee Kim
• Eun Kyung Kim
• Eun Sun Kim
• Eunja Kim

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
• 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.