Optoid Print3D Eyewear LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007717 Issued in NY

Legal business name

OPTOID PRINT3D EYEWEAR LLC

Practice address

240 Graham Ave
Brooklyn, NY 11206-1204

Phone

(718) 388-8409

Fax

(718) 388-8267

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

James C. Kim, ODNPI 1538455803

Title

Managing Member

Phone

(718) 388-8409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Chang Ho Kim, O.D., F.A.A.O.

  • Optometrist
  • Brooklyn, NY
  • NPI 1538455803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1376933432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061204",
            "telephone_number": "718-388-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061204",
            "telephone_number": "718-388-8409",
            "fax_number": "718-388-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOID PRINT3D EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-388-8409",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optum Medical Care, P.C.
• Beverly Opuiyo, RN
• Opulent Physical Therapy
• Betsy Enid Oquendo, LMHC
• Ildefonso Oquendo, CASAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.