Byung Yoon Kim, OD | |
2300 W 7th St Ste 132, Fort Worth, TX 76107-2311 | |
(817) 420-7377 | |
Not Available |
Full Name | Byung Yoon Kim |
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Gender | Male |
Speciality | Optometrist |
Location | 2300 W 7th St Ste 132, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588437628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11029T (Texas) | Primary |
Provider Name | Med Southwest Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481 |
Mailing Address | Practice Location Address |
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Byung Yoon Kim, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: () - | Byung Yoon Kim, OD 2300 W 7th St Ste 132, Fort Worth, TX 76107-2311 Ph: (817) 420-7377 |
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