Daniel Kim, M.D., Total Eye Care, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

194095 Issued in NY

Legal business name

DANIEL KIM, M.D., TOTAL EYE CARE, P.C.

Practice address

4161 Kissena Blvd
C#24
Flushing, NY 11355-3105

Phone

(718) 661-3800

Fax

(718) 661-3812

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Sung Ryu

Title

Office Manager

Phone

(718) 661-3800

Specialties & licenses 1

Addresses

Other identifiers 10

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gee Hyun Chun, O.D.

  • Optometrist
  • New York, NY
  • NPI 1073825584
  Medicare reassignment Care Compare group NPD
• Sangwoo Lee, M.D.

  • Ophthalmology Physician
  • Fresh Meadows, NY
  • NPI 1164476404
  Medicare reassignment Care Compare group NPD
• Seung-Hee Choi, O.D.

  • Optometrist
  • Palisades Park, NJ
  • NPI 1043476633

  NY

  Medicare reassignment Care Compare group NPD
• Daniel Y Kim, M.D.

  • Ophthalmology Physician
  • Palisades Park, NJ
  • NPI 1477500866

  NY

  Medicare reassignment Care Compare group NPD
• Theodore Lyu, M.D.

  • Ophthalmology Physician
  • Elmhurst, NY
  • NPI 1760704803
  Medicare reassignment Care Compare group
• David SC Chu, MD

  • Ophthalmology Physician
  • Palisades Park, NJ
  • NPI 1144260019
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1629047329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13633 37TH AVE STE 4C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544562",
            "telephone_number": "718-661-3800",
            "fax_number": "718-661-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "C#24",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-661-3800",
            "fax_number": "718-661-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL KIM, M.D., TOTAL EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-661-3800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "194095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "113385110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2033258",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755297",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1309275",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6013281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "67S631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C7998",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P627446",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "113385110003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5143562",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkim@stmarys.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13633 37th Ave Ste 4C",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113544562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emmanuel D Damanakis
• Ousama Damlaj
• Dana Care Physical Therapy PC
• Danada Internal Medicine, P.C.
• Ira Dananberg, BC-HIS
• Daniel Miller DO PLLC
• Lauren Daniel
• Lena Ann Daniel, PA
• Danielle L Sim DMD PC (Main Dental Group)
• Danielle Pepe (Danielle Pepe Psychology PC)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.