- Practice location
- 543 River RD, Edgewater, NJ 07020-1146
- Phone
- 201-654-9127
- Fax
- —
- Last updated
- February 18, 2026
Gloria Kim is an Optometrist based in Edgewater, NJ. Gloria Kim practices in Edgewater, NJ and has the professional credentials of OD. The NPI Number for Gloria Kim is 1104101492 and holds a License No. 27OA00635500 (NJ). The current practice location address for Gloria Kim is 543 River RD, Edgewater, NJ 07020-1146 and can be reached out via phone at 201-654-9127.
Provider Profile Details
- NPI Number
- 1104101492
- Provider Name
- Gloria Kim
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 543 River RD, Edgewater, NJ 07020-1146
- Phone Number
- 201-654-9127
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2011
- Last Update Date
- February 18, 2026
- Certification Date
- February 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 543 River RD
Edgewater, NJ 07020-1146 - City
- Edgewater
- State
- New Jersey
- Zip
- 07020-1146
- Phone Number
- 201-654-9127
Provider Business Mailing Address Details
- Address
- 543 River RD
Edgewater, NJ 07020-1146 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1146
- Phone Number
- 201-654-9127
License Information
- License Number (1)
- 27OA00635500
- License State (1)
- NJ
- Taxonomy (1)
- Optometrist, Corneal and Contact Management · 152WC0802X
- License Number (2)
- 270OA00635500
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Edgewater, NJ
View all Optometrists in Edgewater →Frequently Asked Questions
What is the NPI number of Gloria Kim, OD?
The NPI number of Gloria Kim, OD is 1104101492. It was assigned on October 18, 2011 and is currently active in the NPPES registry.
What is the specialty of Gloria Kim, OD?
Gloria Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00635500.
Where does Gloria Kim, OD practice?
The practice location is 543 River RD, Edgewater, NJ 07020-1146. The office can be reached at 201-654-9127 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104101492 directly on the NPPES registry website.