Provider Demographics
NPI:1225802044
Name:KIM, HYEIN (OD)
Entity Type:Individual
Prefix:
First Name:HYEIN
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 FOREST AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:019-860-2022
Mailing Address - Fax:201-986-0977
Practice Address - Street 1:275 FOREST AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-986-0202
Practice Address - Fax:201-986-0977
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00725400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist