Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Yong Kim, MD

Individual provider Ophthalmology Physician · NPI 1497287635

Jae Yong Kim, MD is an Ophthalmology in Dearborn, Michigan. Graduated from Univ of Central Florida, College of Medicine in 2017, 9 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
9
Trained at
Univ of Central Florida, College of Medicine
Licensed in
CA, MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1922 Monroe St
Dearborn, MI 48124-2917
Phone: (313) 274-7540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 100 Stein Plz, Los Angeles, CA 90095-7408 — (310) 825-3090
  • 6850 Lake Nona Blvd, Orlando, FL 32827-7408 — (407) 518-2751
  • 4717 Saint Antoine St, Detroit, MI 48201-1423 — (313) 577-8900

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301507485 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence A171816 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497287635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address1922 Monroe St, Dearborn, MI 48124-2917

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dearborn