Anderson Kim, OD
Optometrist in Jersey City, New Jersey
1760832984- Practice location
- 30 Mall Dr W Ste 100, Jersey City, NJ 07310-1647
- Phone
- 201-798-0303
- Fax
- —
- Last updated
- July 10, 2019
Anderson Kim is an Optometrist based in Jersey City, NJ. Anderson Kim practices in Jersey City, NJ and has the professional credentials of OD. The NPI Number for Anderson Kim is 1760832984 and holds a License No. TUV008417-1 (NY). The current practice location address for Anderson Kim is 30 Mall Dr W Ste 100, Jersey City, NJ 07310-1647 and can be reached out via phone at 201-798-0303.
Provider Profile Details
- NPI Number
- 1760832984
- Provider Name
- Anderson Kim
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Mall Dr W Ste 100, Jersey City, NJ 07310-1647
- Phone Number
- 201-798-0303
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2016
- Last Update Date
- July 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Mall Dr W Ste 100
Jersey City, NJ 07310-1647 - City
- Jersey City
- State
- New Jersey
- Zip
- 07310-1647
- Phone Number
- 201-798-0303
Provider Business Mailing Address Details
- Address
- 16 Cordelia CT
Buena Park, CA 90621-8436 - City
- Buena Park
- State
- CA
- Zip
- 90621-8436
- Phone Number
- 562-754-1721
License Information
- License Number (1)
- TUV008417-1
- License State (1)
- NY
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 008417
- License State (2)
- NY
- 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. | |||
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- Christina A Chu, ODOptometrist · NPI 1891041307
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Frequently Asked Questions
What is the NPI number of Anderson Kim, OD?
The NPI number of Anderson Kim, OD is 1760832984. It was assigned on June 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Anderson Kim, OD?
Anderson Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV008417-1.
Where does Anderson Kim, OD practice?
The practice location is 30 Mall Dr W Ste 100, Jersey City, NJ 07310-1647. The office can be reached at 201-798-0303 (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 1760832984 directly on the NPPES registry website.