Dr Il Jin Kim, OD | |
90 W 225th St, Bronx, NY 10463-7002 | |
(718) 664-2164 | |
Not Available |
Full Name | Dr Il Jin Kim |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 90 W 225th St, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831685429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV008772 (New York) | Primary |
Provider Name | Wise Medical Ny Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245751882 PECOS PAC ID: 3173897816 Enrollment ID: O20170920000436 |
Provider Name | Mount Tabor Medical Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356123947 PECOS PAC ID: 0749638021 Enrollment ID: O20231127002694 |
Provider Name | Jacob C Shafran Optometry Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871351155 PECOS PAC ID: 9032557145 Enrollment ID: O20240409003227 |
Mailing Address | Practice Location Address |
---|---|
Dr Il Jin Kim, OD 8638 Town And Country Blvd Apt B, Ellicott City, MD 21043-2906 Ph: (443) 765-7002 | Dr Il Jin Kim, OD 90 W 225th St, Bronx, NY 10463-7002 Ph: (718) 664-2164 |
Ms. Deborah Esposito, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Holly Pl, Bronx, NY 10465 Phone: 917-217-6935 | |
Clear View Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 Burke Ave, Bronx, NY 10467 Phone: 718-547-1600 | |
Vision Quest Bronx Optometrist Medicare: Not Enrolled in Medicare Practice Location: 905 White Plains Rd, Bronx, NY 10473 Phone: 718-239-9389 | |
Creston Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2169 White Plains Rd, Bronx, NY 10462 Phone: 718-409-2200 | |
Pro Optics Corp Optometrist Medicare: Medicare Enrolled Practice Location: 2483 Grand Concourse, Bronx, NY 10468 Phone: 718-933-0187 | |
Fordham Vision Center Ny Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1 E Fordham Rd, Bronx, NY 10468 Phone: 718-733-6700 Fax: 718-733-2756 | |
Veronica Moore-stoll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |