Dr James Bong-suk Kim, OD - Optometrist in Southfield, MI

Dr James Bong-suk Kim, OD is a Optometrist based in Southfield, Michigan. Dr James Bong-suk Kim is licensed to practice in Michigan (license number 4901005490) and his current practice location is 19747 W 12 Mile Rd Ste L7a, Southfield, Michigan. He can be reached at his office (for appointments etc.) via phone at (754) 304-1065.

NPI number for Dr James Bong-suk Kim is 1538777255 and his current mailing address is 19747 W 12 Mile Rd Ste L7a, Southfield, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538777255.

Contact Information

Dr James Bong-suk Kim, OD
19747 W 12 Mile Rd Ste L7a,
Southfield, MI 48076-2584
(754) 304-1065
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr James Bong-suk Kim
GenderMale
SpecialityOptometrist
Location19747 W 12 Mile Rd Ste L7a, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538777255
  • Provider Enumeration Date: 07/20/2020
  • Last Update Date: 07/20/2020

Medical Identifiers

Medical identifiers for Dr James Bong-suk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538777255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901005490 (Michigan)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. Dr James Bong-suk 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
Dr James Bong-suk Kim, OD
19747 W 12 Mile Rd Ste L7a,
Southfield, MI 48076-2584

Ph: (754) 304-1065
Dr James Bong-suk Kim, OD
19747 W 12 Mile Rd Ste L7a,
Southfield, MI 48076-2584

Ph: (754) 304-1065

Reviews and Comments


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