EUN JUNG KIM (NPI# 1114573615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114573615 |
| Entity Type | Individual |
| Full Name | EUN JUNG KIM |
| Credential | OD |
| Practice Address |
1562 Lemoine Ave Ste 3 Fort Lee NJ 07024-5652 |
| Practice Telephone | 2014617595 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OM00157600 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457801458 | Eun Jung Kim | Pharmacist | 2062 Clove Rd, Staten Island, NY 10304-1650 | 2016-10-13 |
| 1942567292 | Eun Jung Kim | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave Ste 101, Los Angeles, CA 90015-3048 | 2012-04-11 |
| Street Address |
1562 LEMOINE AVE STE 3 |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| 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 |
|---|---|---|---|---|
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1710945589 | Diane M. Kim | Optometrist | 2151 Lemoine Ave., Fort Lee, NJ 07024 | 2006-05-02 |
| 1245296755 | Paul Shahinian | Optometrist | 104 Linwood Plz, Fort Lee, NJ 07024-3701 | 2006-04-24 |
| 1871840793 | Jasmin Isabel Filpo | Optometrist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-08-09 |
| 1093093734 | Harrison Leigh Rosenberg | Optometrist | 301 Bridge Plz N, Fort Lee, NJ 07024-5059 | 2011-07-29 |
| 1689841470 | My Vision Care Corpation | Optometrist | 1580 Lemoine Ave, Suite 5, Fort Lee, NJ 07024-5621 | 2008-05-12 |
| 1235303413 | Dr. Paul Shahinian, LLC | Optometrist | 104 Linwood Plz, Fort Lee, NJ 07024-3701 | 2008-04-17 |
| 1841490570 | Bridge Opticians, LLC | Optometrist | 301 Bridge Plz N, Fort Lee, NJ 07024-5059 | 2007-07-20 |
| 1255536736 | Evan Gee Young Joo | Optometrist | 215 Main St, Fort Lee, NJ 07024-5701 | 2007-06-15 |
| 1144399221 | Michael D. Lawson | Optometrist | 700 24th St, Fort Lee, VA 23801-1716 | 2006-11-06 |
| Find all providers in FORT LEE | ||||
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| 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.