Ethan Yooseok Kim, OD - Optometrist in Bayside, NY

Ethan Yooseok Kim, OD is a Optometrist based in Bayside, New York. Ethan Yooseok Kim is licensed to practice in New York (license number RT009892) and his current practice location is 3925 Bell Blvd, Bayside, New York. He can be reached at his office (for appointments etc.) via phone at (718) 279-2020.

NPI number for Ethan Yooseok Kim is 1124805684 and his current mailing address is 4528 220th Pl, Bayside, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124805684.

Contact Information

Ethan Yooseok Kim, OD
3925 Bell Blvd,
Bayside, NY 11361-2060
(718) 279-2020
Not Available



Healthcare Provider's Profile

Full NameEthan Yooseok Kim
GenderMale
SpecialityOptometrist
Location3925 Bell Blvd, Bayside, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124805684
  • Provider Enumeration Date: 09/08/2023
  • Last Update Date: 09/08/2023

Medical Identifiers

Medical identifiers for Ethan Yooseok Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124805684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist RT009892 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Yooseok Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethan Yooseok Kim, OD
4528 220th Pl,
Bayside, NY 11361-3647

Ph: (929) 369-7211
Ethan Yooseok Kim, OD
3925 Bell Blvd,
Bayside, NY 11361-2060

Ph: (718) 279-2020

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› Verified 6 days ago


Optometrist in Bayside, NY

Dr. Nadine Amy Cohen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2634 Bell Blvd, Bayside, NY 11360
Phone: 718-428-2020    
Arthur Chen, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 20836 Cross Island Pkwy, Bayside, NY 11360
Phone: 718-224-1833    Fax: 718-224-1877
Ch Optometry Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3925 Bell Blvd, Bayside, NY 11361
Phone: 718-279-2020    
Dr. Kerinna Molly Mcdonald, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4101 Bell Blvd, Bayside, NY 11361
Phone: 718-428-6700    
Eyes On Bell Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3912 Bell Blvd, Bayside, NY 11361
Phone: 718-221-2020    Fax: 718-281-2355
Kevin Jon Leung, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3925 Bell Blvd, Bayside, NY 11361
Phone: 718-279-2020    

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