Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diane M. Kim, OD

Individual provider Optometrist · NPI 1710945589

Dr. Diane M. Kim, OD is an Optometry in Fort Lee, New Jersey. Graduated from State University of New York - State College Optometry in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
22
Trained at
State University of New York - State College Optometry
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2151 Lemoine Ave
Fort Lee, NJ 07024
Phone: (201) 346-9000
Fax: (201) 346-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 270A00602800 (NJ)
Optometrist Taxonomy 152W00000X · Licence TUV006818 (NY)

Record details

NPI number1710945589
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 2, 2006
Last updated in NPPESDecember 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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