Individual
DR. DONALD D KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
132-15 41ST AVE, SUITE CC, FLUSHING, NY 11355-3962
(718) 358-2010
Mailing address
247 CLOSTER DOCK ROAD, CLOSTER, NJ 07624-2619
(201) 564-7700
(201) 564-7701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00603100
NJ
152W00000X
Optometrist
Primary
T005484-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01719346
—
NY
05
—
0172588
—
NJ
Enumeration date
06/13/2005
Last updated
02/25/2025
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