DR. JAMES BONG-SUK KIM (NPI# 1538777255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538777255 |
| Entity Type | Individual |
| Full Name | DR. JAMES BONG-SUK KIM |
| Credential | OD |
| Practice Address |
19747 W 12 Mile Rd Ste L7a Southfield MI 48076-2584 |
| Practice Telephone | 7543041065 |
| Mailing Telephone | 7543041065 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901005490 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1093200784 | James Chan Kim | Pharmacist | 5734 256th St Fl 2nd, Little Neck, NY 11362-2141 | 2018-06-26 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1053716589 | James Kim | Acupuncturist | 5 Laketrail Cv, Buena Park, CA 90621-1660 | 2014-10-27 |
| 1093135931 | James Moo Kim | Student in an Organized Health Care Education/Training Program | 9 Blueberry Cir, Andover, MA 01810-5026 | 2014-04-18 |
| 1801149802 | James Kyo Kim | Internal Medicine | 4950 Sunset Ave, 6th Floor, Los Angeles, CA 90027-4156 | 2012-10-16 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1538455803 | James Chang Ho Kim | Optometrist | 240 Graham Ave, Brooklyn, NY 11206-1204 | 2011-06-24 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| Street Address |
19747 W 12 MILE RD STE L7A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
|---|---|---|---|---|
| 1154954741 | P-cor, LLC | Optometrist | 29350 Southfield Rd Ste 150, Southfield, MI 48076-2011 | 2020-02-21 |
| 1659754505 | Brittany R Adams | Optometrist | 29157 Southfield Rd, Southfield, MI 48076-1900 | 2015-07-09 |
| 1528382611 | Mobile Podiatry LLC | Optometrist | 27718 Franklin Road, Southfield, MI 48034 | 2010-03-18 |
| 1952420267 | Jartll Corp | Optometrist | 29983 Northwestern Hwy, Southfield, MI 48034-1020 | 2007-03-28 |
| 1831275759 | Martin Bruce Rudick | Optometrist | 28923 Christopher Ln., Southfield, MI 48034 | 2006-10-31 |
| 1679660849 | Black and White Look Optical Corporation | Optometrist | 15675 W Ten Mile Rd, Southfield, MI 48075-2188 | 2006-10-06 |
| 1548368954 | Holloway Eyecare PC | Optometrist | 20905 Greenfield Rd Ste 301, Southfield, MI 48075-5347 | 2006-09-20 |
| 1720197759 | Yaakov Gershon Zacks | Optometrist | 16232 Sherfield Pl, Southfield, MI 48075-2061 | 2006-08-30 |
| 1033141627 | Frances Meram Ceritano | Optometrist | 30800 Southfield Rd, Southfield, MI 48076-7737 | 2006-07-06 |
| 1205870532 | Agape Vision Associates P.C. | Optometrist | 24300 Southfield Rd Ste 216, Southfield, MI 48075-2859 | 2006-06-16 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on DR. JAMES BONG-SUK 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.