Active NPI
Seongeun Kim, OD
- Optometrist
- Montclair, NJ
National Provider Identifier
1649182239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00745900
- Practice address
- 211 Bellevue Ave
Montclair, NJ 07043-1885 - Phone
- (973) 707-5255
- NPI assigned
- Sep 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 27OA00745900 | NJ | Primary |
Addresses
Primary practice location
211 Bellevue Ave
Montclair, NJ 07043-1885
Mailing address
211 Bellevue Ave
Montclair, NJ 07043-1885
Phone (973) 707-5255
Other practice location 1
160 E Ridgewood Ave
Ridgewood, NJ 07450-3848
Phone (201) 652-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789776000000",
"number": "1649182239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BELLEVUE AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431885",
"telephone_number": "973-707-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BELLEVUE AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431885",
"telephone_number": "973-707-5255"
}
],
"practiceLocations": [
{
"address_1": "160 E Ridgewood Ave",
"address_purpose": "LOCATION",
"city": "Ridgewood",
"state": "NJ",
"postal_code": "074503848",
"country_code": "US",
"telephone_number": "201-652-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SEONGEUN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-19",
"last_updated": "2026-09-19",
"certification_date": "2026-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00745900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.