Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANE M. KIM, OD
Active Sole ProprietorDR. DIANE M. KIM, OD is a Optometrist healthcare provider located in FORT LEE, New Jersey. NPI 1710945589 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT LEE, NJ
Registration Details
- NPI Number
- 1710945589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2006 (20.268306518693 yrs)
- Last Updated
- Dec 11, 2014
- Licenses
-
TUV006818 (NY)270A00602800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2151 LEMOINE AVE.FORT LEE, NJ, 07024Browse NJ providers · Browse ZIP 07024
- Phone
- 2013469000
- Fax
- 2013469001
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL SHAHINIAN | OD | 1245296755 |
| DR. EVAN GEE YOUNG JOO | — | 1255536736 |
| DR. HARRISON LEIGH ROSENBERG | OD | 1093093734 |
| DR. MICHELLE L BOTSACOS | OD | 1861120610 |
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.