Sung Hwa Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00616400 Issued in NJ

Practice address

1508 Willowbrook Mall
Wayne, NJ 07470-6906

Phone

(973) 890-0861

Fax

(973) 890-0956

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1689864530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706906",
            "telephone_number": "973-890-0861",
            "fax_number": "973-890-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706906",
            "telephone_number": "973-890-0861",
            "fax_number": "973-890-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "HWA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00616400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kiernan, D.P.T.
• Ashley Kim, DPM
• Bo Ra Kim, PHARMD
• Doehee Kim, PT
• In Kim, L.AC.
• Kinetic Home Therapy Services LLC
• Susan M Kirschenbaum, PA-C
• Maria Cecilia Kitele
• Jamie Klein
• Paul G Klein, DPM

• Optometrist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.