Lia Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006978-1 Issued in NY

Practice address

115 Chambers St
New York, NY 10007-1001

Phone

(212) 766-4452

NPI assigned

Oct 3, 2006

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

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

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 and National Provider Directory roles.

• Eyellusion Vision Center Incorporated

  • Optician
  • Woodside, NY
  • NPI 1245261593
  Medicare reassignment NPD
• Eyellusion Vision Center Incorporated

  • Optician
  • Plainview, NY
  • NPI 1952852360
  NPD
• Hear & See Right Inc

  • Optometrist
  • New York, NY
  • NPI 1043419708
  NPD (past)
• Podiatry Options P.C.

  • Podiatrist
  • New York, NY
  • NPI 1134327356
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1699860916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071001",
            "telephone_number": "212-766-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006978-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Woon Kim
• Kyung-a Kim
• Kyungmin Kim
• Leah Kim, MD
• Leslie Kim
• Lily Joan Kim, MHC
• Lily Jungsun Kim, LMSW
• Linda S Kim, PHARMACIST
• Lucy Miyeong Kim, PSY.D.
• Luke K. Kim, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.