James Chang Ho Kim, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007717 Issued in NY

Practice address

240 Graham Ave
Brooklyn, NY 11206-1204

Phone

(718) 388-8409

Fax

(718) 388-8267

NPI assigned

Jun 24, 2011

Last updated

Jan 26, 2015By the provider in NPPES

Sex

Male

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, 2011

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optoid Print3D Eyewear LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1376933432
  Medicare reassignment NPD Authorized official
• Affordable Optical of Starett City, Inc.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1336305044
  Medicare reassignment NPD
• Flatbush Optical of Starrette City

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1518412915
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1538455803",
    "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",
            "fax_number": "718-388-8267"
        },
        {
            "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": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "CHANG HO",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyunwoo Kim
• Irina Kim
• Isaac Kim, MD
• Jae Ku Kim, D.C.
• Jae Whan Kim, MD
• Jane Kim, MD
• Jane Berkman Kim, PH.D.
• Jane K Kim, MD
• Jenni H Kim
• Jennie Kim, MD

• 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 26, 2015; 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.