Martin Sung Kim, O.D., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

27OA00604800 Issued in NJ

Legal business name

MARTIN SUNG KIM, O.D., INC.

Practice address

333 Grand Ave
# 2J
Palisades Park, NJ 07650-1251

Phone

(201) 421-9319

NPI assigned

Aug 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin Sung Kim, O.D.

Title

President

Phone

(201) 421-9319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187395200000",
    "number": "1972796423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "# 2J",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "# 2J",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501251",
            "telephone_number": "201-421-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SUNG KIM, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-421-9319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00604800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; 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.