National Provider Identifier
Justin Kim, O.D.
Justin Kim, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Cheektowaga, NY and a listed phone number of (716) 896-8831.
Profile Overview
- NPI
- 1629429139
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 27, 2016
- Last Updated
- June 27, 2016
Practice Location
- 3095 Harlem RD
- Cheektowaga, NY 14225-2500
Phone: (716) 896-8831
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1629429139
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Justin
- Credential
- O.D.
- Mailing Street Address
- 3095 Harlem RD
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2500
- Mailing Country
- US
- Mailing Phone
- (716) 896-8831
- Mailing Fax
- (716) 896-2318
- Practice Street Address
- 3095 Harlem RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2500
- Practice Country
- US
- Practice Phone
- (716) 896-8831
- Practice Fax
- (716) 896-2318
- Enumeration Date
- June 27, 2016
- Last Updated
- June 27, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)