Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KIM
ActiveMICHAEL KIM is a Optician, Dispensing healthcare provider located in BASKING RIDGE, New Jersey. NPI 1417671843 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BASKING RIDGE, NJ
Registration Details
- NPI Number
- 1417671843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2022 (3.9051623599288 yrs)
- Last Updated
- Sep 29, 2022
- License
-
31TD00339700 (NJ)
Practice Information
- Address
-
665 MARTINSVILLE RD # 9ABASKING RIDGE, NJ, 079204700Browse NJ providers · Browse ZIP 07920
- Phone
- 9085467000
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.