Dr Agnes Kim, OD is a
Optometrist based in Crowley, Texas. Dr Agnes Kim is licensed to practice in Texas (license number 8558TG) and her current practice location is
1221 Fm 1187 E, Crowley, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 782-9972.
NPI number for Dr Agnes Kim is 1871992719 and her current mailing address is 701 E Bluff St Apt 6105, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871992719.
Healthcare Provider's Profile
| Full Name | Dr Agnes Kim |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 1221 Fm 1187 E, Crowley, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871992719
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 10/07/2022
Medical Identifiers
Medical identifiers for Dr Agnes Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871992719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 8558TG (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Agnes Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Agnes Kim, OD
701 E Bluff St Apt 6105,
Fort Worth, TX 76102-2368
Ph: (318) 775-9834 | Dr Agnes Kim, OD
1221 Fm 1187 E,
Crowley, TX 76036-4370
Ph: (817) 782-9972 |
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