Active NPI
Min Kyung Kim, OD
- Optometrist
- West Point, NY
National Provider Identifier
1316655376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009693
- Practice address
- 900 Washington Rd
West Point, NY 10996-1109 - Phone
- (315) 774-8510
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009693 | NY | Primary |
Addresses
Primary practice location
900 Washington Rd
West Point, NY 10996-1109
Mailing address
900 Washington Rd
West Point, NY 10996-1109
NPI Registry JSON
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1316655376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WASHINGTON RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WASHINGTON RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961109",
"telephone_number": "315-774-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MIN KYUNG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.