| Doctor Name: | DR. THOMAS H KIM |
| NPI Number: | 1710025283 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | OPC3359 |
| Business Practice Address: | 355 State Road 436 Fern Park, FL - 327302703 |
| Business Phone Number: | 4072601566 |
| Business Fax Number: | 4072602251 |
| Mailing Address: | 355 State Road 436, FERN PARK |
| State: | FL |
| Postal Code: | 327302703 |
| Phone Number: | 4072601566 |
| Fax Number: | 4072602251 |
| NPI Enumeration Date: | 02/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OPC3359 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |