Kim, Donald D

Kim, Donald D is an sole proprietor health care provider with primary practice located at 247 Closter Dock Road , Closter NJ 07624-2619. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kim, Donald D can be contacted via phone (201) 564-7700.

Contact Information

Primary practice address
247 Closter Dock Road Closter NJ 07624-2619
Phone: (201) 564-7700
Fax: (201) 564-7701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T005484-1 New York
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00603100 New Jersey

Profile Details

NPI number 1881698322
LBN Legal business name Kim, Donald D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jul 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881698322 NPPES
New Jersey MEDICAID 0172588
New Jersey MEDICAID 01719346

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