Dr Ka-eul Kelly Yim, OD | |
47 Cheltenham Ave, Cheltenham, PA 19012-1412 | |
(215) 635-4787 | |
(215) 758-2628 |
Full Name | Dr Ka-eul Kelly Yim |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 47 Cheltenham Ave, Cheltenham, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003860255 | NPI | - | NPPES |
1745507 | Other | PA | PA BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001452 (Pennsylvania) | Primary |
Provider Name | J H Lee Od & Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053366427 PECOS PAC ID: 8820051931 Enrollment ID: O20041110000102 |
Mailing Address | Practice Location Address |
---|---|
Dr Ka-eul Kelly Yim, OD 47 Cheltenham Ave, Cheltenham, PA 19012-1412 Ph: (215) 635-4787 | Dr Ka-eul Kelly Yim, OD 47 Cheltenham Ave, Cheltenham, PA 19012-1412 Ph: (215) 635-4787 |
Design Eyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 47 Cheltenham Ave, Cheltenham, PA 19012 Phone: 215-635-4787 | |
Dr. Mark A Shust, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 121 Krewson Ln, Cheltenham, PA 19012 Phone: 215-379-1850 | |
Mark A Shust Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 Krewson Lane, Cheltenham, PA 19012 Phone: 215-588-8371 Fax: 215-379-1850 |