Christine Misun Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005225 Issued in NY

Practice address

3929 Broadway
New York, NY 10032-1538

Phone

(212) 568-4693

NPI assigned

Oct 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Raymond Fong MD, PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1619196516
  NPD (past)
• Tag Optical Corp

  • Optometrist
  • New York, NY
  • NPI 1619090917
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992895817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAW MILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321538",
            "telephone_number": "212-568-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "MISUN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Kim, PHARMD
• Christina H Kim, MS, RD, CNSC, CDN
• Christine Kim
• Christine Kuna Kim, PA-C
• Christine M Kim, RN
• Christine Y. Kim, M.D.
• Chulho Kim
• Chun Kim, MD
• Claire Kim
• Claire S Kim, D.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 Jul 9, 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.