Yoonsung Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004298 Issued in NY

Practice address

310 5TH Ave
Floor 2
New York, NY 10001-3605

Phone

(212) 971-0911

Fax

(212) 714-2097

NPI assigned

Jun 22, 2005

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• European Optical Corporation

  • Eyewear Supplier
  • New York, NY
  • NPI 1124200746
  NPD (past) Authorized official
• 9W Eyecare, LLC

  • Optometrist
  • Englewood Cliffs, NJ
  • NPI 1497998884
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1982600185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 5TH AVE",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013605",
            "telephone_number": "212-971-0911",
            "fax_number": "212-714-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 5TH AVE",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013605",
            "telephone_number": "212-971-0911",
            "fax_number": "212-714-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOONSUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00791906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yongjung Kim, MD
• Yongsin Kim
• Yoojin Eugene Kim, DDS
• Yoon Hee Kim
• Yoonchang Kim
• You Jin Harris Kim, L.AC, DACM
• Young Kim, CRNA
• Young Beom Kim, P.T.
• Young Chul Kim
• Young Jai Kim, PHD

• 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 Feb 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.