DR. TAE WON KIM (NPI# 1073946406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073946406 |
| Entity Type | Individual |
| Full Name | DR. TAE WON KIM |
| Credential | O.D. |
| Practice Address |
2551 S University Dr Davie FL 33324-5845 |
| Practice Telephone | 9543705883 |
| Mailing Telephone | 9543705883 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC4831 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780846246 | Tae Won Benjamin Kim | Orthopaedic Surgery | 3 Cooper Plz, Suite 502, Camden, NJ 08103-1438 | 2008-06-26 |
| Street Address |
2551 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609815869 | Harold M Forrest | Optometrist | 2551 S University Dr, Davie, FL 33324-5845 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044622 | Daniel Max & Marcandrea, LLC | Optometrist | 4591 S University Dr, Davie, FL 33328-3838 | 2020-08-18 |
| 1669090825 | Joshua Marshall Reed | Optometrist | 8400 Sw 39th Ct, Davie, FL 33328-2906 | 2020-07-13 |
| 1861015489 | Nikita S. Jaber | Optometrist | 6650 Sw 39th St Apt A4, Davie, FL 33314-2440 | 2020-05-19 |
| 1861045502 | Liana Rivkin | Optometrist | 3200 S University Dr Bldg 1402, Davie, FL 33328-2018 | 2019-07-22 |
| 1487110656 | Lindsay Marie Agro | Optometrist | 2210 S University Dr Ste 63b, Davie, FL 33324-5852 | 2019-02-13 |
| 1477081271 | Adesola Olatunji Fadeyi | Optometrist | 9480 Tangerine Pl Apt 404, Davie, FL 33324-4453 | 2017-05-24 |
| 1053847566 | Rhea Butchey Od LLC | Optometrist | 15800 Surrey Cir, Davie, FL 33331-2568 | 2017-05-03 |
| 1558711192 | Ilya Ginzburg | Optometrist | 4975 Sw 148th Ave, Davie, FL 33330-2419 | 2016-06-14 |
| 1659729036 | Chuan Hu | Optometrist | 2015 Sw 82nd Ave, Davie, FL 33324-5407 | 2016-05-26 |
| 1144602160 | Miriam Anglo | Optometrist | 3200 S University Dr Bldg 2nd, Davie, FL 33328-2018 | 2015-06-25 |
| Find all providers in DAVIE | ||||
Please comment or provide details below to improve the information on DR. TAE WON KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.