Dr. James D Kim, MD
Ophthalmology in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1255657151
StatusActive
Last updated in NPPESAug 5, 2022
Details
- NPI
- 1255657151
- Entity type
- Individual (NPI-1)
- Name
- Dr. James D Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2010
- Certification date
- Aug 5, 2022
- Last updated
- Aug 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 01083315A | IN | Yes |
| 207W00000X | Ophthalmology | 62214-20 | WI |
Practice location
7802 W Jefferson Blvd Ste AFort Wayne, IN 46804-4138
Phone 260-305-2822 · Fax 260-305-2829
Mailing address
7802 W Jefferson Blvd Ste AFort Wayne, IN 46804-4138
Phone 260-305-2822 · Fax 260-305-2829
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