Rebecca Kim

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00719800 Issued in NJ

Practice address

475 Nassau Park Blvd Ste C
Princeton, NJ 08540-5936

Phone

(609) 243-8902

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

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 NJ

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

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.

• Charles M. Cummins, OD., PA

  dba EyeDRx

  • Optometrist
  • Bloomfield, NJ
  • NPI 1598797722
  Medicare reassignment NPD
• Charles M Cummins, OD, PA

  dba Visionworks Doctors of Optometry

  • Eyewear Supplier
  • Turnersville, NJ
  • NPI 1114703956

  Optometrist

  NPD
• Charles M. Cummins, OD, PA

  dba Visionworks

  • Optometrist
  • Deptford, NJ
  • NPI 1205177508
  NPD
• Charles M. Cummins, OD, PA

  • Eyewear Supplier
  • West Windsor Township, NJ
  • NPI 1700125309

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1780368928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BERMUDA DUNES DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315125",
            "telephone_number": "732-947-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NASSAU PARK BLVD STE C",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405936",
            "telephone_number": "609-243-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00719800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Gerard Kiechlin, DC, DACNB
• Stephen M Killian, PA-C
• Cindy S Kim
• In Joong Kim, DVM, MS, PHD, DACVP
• Mihee Kim, N.P.
• Julaine Kinchla, PH.D.
• Courtney Kipp
• Krista Kircanski, PSY.D.
• Kirk D Huckel DMD PA (Princeton Center for Dental Aesthetics and Implants)
• Sandra Kirollos, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.