Martin Sung Kim, O.D., Inc.

LBN: Martin Sung Kim, O.D., Inc.
Martin Sung Kim, O.D., Inc. is an health care organization with primary practice located at 121 Broad Ave , Palisades Park NJ 07650-1441. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Martin Sung Kim, O.D., Inc. can be contacted via phone (201) 346-1500, or through Kim, Martin Sung via phone (201) 421-9319.

Contact Information

Primary practice address
121 Broad Ave Palisades Park NJ 07650-1441
Phone: (201) 346-1500
Fax: (201) 346-1549
Website:
Map and Directions
Authorized official contact:
Name: Kim, Martin Sung Doctor of Optometry (OD)
Phone: (201) 421-9319

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00604800 New Jersey

Profile Details

NPI number 1851337703
LBN Legal business name Martin Sung Kim, O.D., Inc.
DBA Doing business as
Authorized official Kim, Martin Sung Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851337703 NPPES
New York MEDICAID 02837805
New York MEDICAID 0129011

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