Diane Kim, OD

NPI 1710945589 · on the registry since 2006 · sole proprietor

Practice

Address: 2151 Lemoine Ave.
Fort Lee, NJ 07024
Phone: (201) 346-9000
Fax: (201) 346-9001
Organisation at this address: Fort Lee Vision Llc
Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152W00000X
Licence states on file: NY, NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey