DR. KA-EUL KELLY YIM (NPI# 1003860255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003860255 |
| Entity Type | Individual |
| Full Name | DR. KA-EUL KELLY YIM |
| Credential | O.D. |
| Practice Address |
47 Cheltenham Ave Cheltenham PA 19012-1412 |
| Practice Telephone | 2156354787 |
| Practice Fax Number | 2157582628 |
| Mailing Telephone | 2156354787 |
| Mailing Fax Number | 2157582628 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001452 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA BLUE SHIELD | 1745507 | 01 |
| Street Address |
47 CHELTENHAM AVE |
| City | CHELTENHAM |
| State | PA |
| Zip Code | 19012-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578576104 | Design Eyes | Optometrist | 47 Cheltenham Ave, Cheltenham, PA 19012-1412 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457711350 | Mark Ian Cherwony | Specialist | 7913 Jenkintown Road, Cheltenham, PA 19012 | 2016-03-04 |
| 1184855330 | Temple Hospital | General Acute Care Hospital | 24 Edgemoor Rd, Cheltenham, PA 19012 | 2009-08-06 |
| 1952502577 | Donald Anthony Petetti Sr. | Family Medicine | 111 Tookany Creek Parkway, Cheltenham, PA 19012 | 2007-05-30 |
| 1215035829 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 45 Cheltenham Ave Melrose Sc, Cheltenham, PA 19012 | 2006-09-20 |
| 1013945492 | Stephen J Mills | Podiatrist | 421 Central Ave, Cheltenham, PA 19012 | 2006-06-28 |
| 1932142155 | Mitchel R Goldman | Dentist | 633 Ashmead Rd, Cheltenham, PA 19012 | 2006-06-14 |
| 1457616302 | Barbara Kotzin | Speech-Language Pathologist | 609 Central Avenue, Cheltenham, PA 19012 | 2012-07-06 |
| 1235254921 | Abington Adult Psychiatric Services LLC | Specialist | 123 Tookany Creek Pkwy, Cheltenham, PA 19012 | 2007-03-20 |
| 1558611400 | Ellen Auerbach Einhorn | Speech-Language Pathologist | 1129 Coventry Rd, Cheltenham, PA 19012-1003 | 2012-09-18 |
| 1861590762 | Glenn Paul Goodhart | Dentist | 1137 Coventry Rd, Cheltenham, PA 19012-1003 | 2006-09-21 |
| Find all providers in zip 19012 | ||||
| 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 |
|---|---|---|---|---|
| 1720345424 | Yoon-jung Dianna Cho | Optometrist | 7811 Gayle Rd, Cheltenham, PA 19012-1005 | 2012-04-19 |
| 1962512533 | Mark A Shust Od | Optometrist | 121 Krewson Lane, Cheltenham, PA 19012-1202 | 2006-08-30 |
| 1942212717 | Mark A Shust | Optometrist | 121 Krewson Ln, Cheltenham, PA 19012-1202 | 2006-08-12 |
| 1578576104 | Design Eyes | Optometrist | 47 Cheltenham Ave, Cheltenham, PA 19012-1412 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
| 1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
| 1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
| 1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CHELTENHAM |
| Zip Code | 19012 |
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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.