JUSTIN KIM (NPI# 1629429139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629429139 |
| Entity Type | Individual |
| Full Name | JUSTIN KIM |
| Credential | O.D. |
| Practice Address |
3095 Harlem Rd Cheektowaga NY 14225-2500 |
| Practice Telephone | 7168968831 |
| Practice Fax Number | 7168962318 |
| Mailing Telephone | 7168968831 |
| Mailing Fax Number | 7168962318 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 008439 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421666 | Justin Howoong Kim | Acupuncturist | 13 Overlook Trl, Apt.1323, Peabody, MA 01960-3895 | 2016-08-08 |
| 1811353857 | Justin Kim | Optometrist | 1350 Galaxy Dr Ne, Lacey, WA 98516-4757 | 2016-01-06 |
| 1114348265 | Justin E Kim | Dentist | 11140 Mesquite Ave, Loma Linda, CA 92354-6556 | 2013-12-16 |
| 1336308451 | Justin Jungchul Kim | Acupuncturist | 15132 S Western Ave, Gardena, CA 90249-4313 | 2008-06-04 |
| 1043489248 | Justin Taehwan Kim | Surgery | 7500 Kirby Dr, #1523, Houston, TX 77030-4300 | 2008-02-21 |
| 1194718114 | Justin M Kim | Optometrist | 130 Norris Ln, Boerne, TX 78006-2893 | 2005-08-24 |
| 1043810674 | Justin Kim | Social Worker | 426 Atlantic Ave, East Rockaway, NY 11518-1431 | 2020-11-01 |
| 1447858766 | Justin Yunouk Kim | Dentist | 301 E Buena Vista St, Barstow, CA 92311-2803 | 2020-10-09 |
| 1427669290 | Justin Kim | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2020-08-13 |
| 1194383950 | Justin Kim | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-06-05 |
| Street Address |
3095 HARLEM RD |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113931 | Pei San Huang | Nurse Anesthetist, Certified Registered | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2005-06-08 |
| 1407109804 | Sherita M. Dubois | Nurse Anesthetist, Certified Registered | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2012-10-23 |
| 1801116926 | Crystal Hemmingson | Nurse Anesthetist, Certified Registered | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2010-06-11 |
| 1720220023 | Michael Kreymer | Anesthesiology | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2009-04-01 |
| 1144468331 | Dawn Gedra Armstrong | Registered Nurse | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2009-01-27 |
| 1952563710 | Katherine Lee Gibbons | Optometrist | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2008-07-01 |
| 1194915371 | Ephraim S Atwal | Ophthalmology | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2007-07-25 |
| 1093932642 | Lauren E Seaner | Nurse Anesthetist, Certified Registered | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2007-04-18 |
| 1619025178 | Amar Atwal, Md PC | Durable Medical Equipment & Medical Supplies | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2007-01-08 |
| 1679654180 | Steven P Milella | Optometrist | 3095 Harlem Rd, Cheektowaga, NY 14225-2500 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| 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 |
|---|---|---|---|---|
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| 1972757417 | Eye Care Professionals of Wny | Optometrist | 750 Dick Rd, Cheektowaga, NY 14225-3882 | 2008-11-11 |
| 1194880989 | Troidl Optical | Optometrist | 665 Cleveland Dr, Cheektowaga, NY 14225-1042 | 2006-12-22 |
| 1386717932 | Ann Marie Gentile | Optometrist | 2000 Walden Ave, Cheektowaga, NY 14225-5454 | 2006-11-15 |
| 1558457853 | Thomas J O'connor | Optometrist | 2720 Union Rd, Cheektowaga, NY 14227-2212 | 2006-10-05 |
| 1720045420 | Empire Vision Center Inc | Optometrist | 3843 Union Road, Ste 75, Cheektowaga, NY 14225-4211 | 2006-04-27 |
| 1720047483 | Thomas M Kaminska | Optometrist | 3356 Genesee St, Cheektowaga, NY 14225-5031 | 2006-03-21 |
| 1336129519 | Ronald Edmund Zydowicz | Optometrist | 2130 Clinton St, Cheektowaga, NY 14206-3338 | 2006-01-22 |
| 1427542208 | Morgan Elizabeth Jude Dulski | Optometrist | 3035 Genesee St, Cheektowaga, NY 14225-2661 | 2018-06-15 |
| 1114350105 | Jessi Lee | Optometrist | 2000 Walden Ave, C203, Cheektowaga, NY 14225-5454 | 2013-08-14 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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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.