Active NPIIndividual providerSole proprietor

Suzanne Kim, OD

Optometrist in West Haven, Connecticut

NPI Number1497161319
Practice location
950 Campbell Ave, West Haven, CT 06516-2770
Fax
—
Last updated
June 2, 2021

Suzanne Kim is an Optometrist based in West Haven, CT. Suzanne Kim practices in West Haven, CT and has the professional credentials of OD. The NPI Number for Suzanne Kim is 1497161319 and holds a License No. 2914 (CT). The current practice location address for Suzanne Kim is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-937-3890.

Provider Profile Details

NPI Number
1497161319
Provider Name
Suzanne Kim
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
950 Campbell Ave, West Haven, CT 06516-2770
Phone Number
203-937-3890
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2014
Last Update Date
June 2, 2021
Certification Date
June 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Ave
West Haven, CT 06516-2770
Zip
06516-2770
Phone Number
203-937-3890
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
32 Tilton St
New Haven, CT 06511-3543
City
New Haven
State
CT
Zip
06511-3543
Phone Number
310-279-6124

License Information

License Number (1)
2914
License State (1)
CT
Taxonomy (1)
Optometrist, Low Vision Rehabilitation · 152WL0500X
License Number (2)
2914
License State (2)
CT
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Suzanne Kim, OD?

The NPI number of Suzanne Kim, OD is 1497161319. It was assigned on July 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Suzanne Kim, OD?

Suzanne Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2914.

Where does Suzanne Kim, OD practice?

The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-937-3890 (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 1497161319 directly on the NPPES registry website.

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