Diane M. Kim, OD
NPI 1710945589ActiveIndividual· Optometrist· Fort Lee, NJ
Optometrist (OD) in Fort Lee, New Jersey, trained at State University of New York - State College Optometry (class of 2004). Medicare paid $2,503 for services to 23 patients in 2024.
Overview
| NPI | 1710945589 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | May 2, 2006 |
| Last updated in NPPES | Dec 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 270A00602800 | NJ |
| Optometrist | 152W00000X | TUV006818 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 24 across 3 procedure codes |
| Paid by Medicare | $2,503 |
Education and affiliations
| Medical school | State University of New York - State College Optometry |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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