JOON Y. KIM MD PC NPI 1629181136

NPI Information

NPI: 1629181136
Provider Name: JOON Y. KIM, MD, PC

Doing Business As: CLAYTON CATARACT & LASER SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1000 CORPORATE CENTER DR
STE 180
MORROW, GA
ZIP 30260
Phone: (770) 968-8888
Get Directions

JOON Y. KIM, MD, PC is an ambulatory surgical clinic center in Morrow, GA. JOON Y. KIM, MD, PC NPI is 1629181136. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Cataract & Laser Surgery Center.

The provider's business location address is:

1000 CORPORATE CENTER DR
STE 180
MORROW, GA
ZIP 30260-180
Phone: (770) 968-8888
Fax: (770) 960-2473

The provider's authorized official is Joon Y. Kim .
The authorized official title is Owner and has the following contact phone number (770) 968-8888.

The CLIA number assigned to this NPI record is 11D0942346 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 10/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	031147	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000783802A	MEDICAID	GEORGIA
2	490003651	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »