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Marisa Mayumi Kim (O.D.)

Marisa Mayumi Kim (O.D.) is a health care provider specializes in Optometrist. She is associated with medical group practice ZUNI INDIAN HOSPITAL and is affiliated with hospital of Zuni Comprehensive Community Health Center.

profile-icon Basic Information

Practice Location Route 301 North 21 B Avenue, Zuni, NM 87327, US
Practice Location Phone505-782-4431
Practice Location Fax
GenderFemale
Specialty InOptometrist
Medical SchoolSouthern California College Of Optometry
Graduation Year2010
NPI ?1629381512
PECOS ID7113041187
Enrollment IDI20100826001247
Entity TypeIndividual
Enumeration Date ? Jul 20, 2010
Last Update Date ? Mar 20, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Marisa Mayumi Kim

SpecialtySpecializationLicenseLicense State
Optometrist 13998California

Medicare-icon Medicare Participation of Marisa Mayumi Kim

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Marisa Mayumi Kim

Medical Group PracticeZuni Indian Hospital
Affiliation 1 Zuni Comprehensive Community Health Center

legacy-id-icon Legacy Provider IDs of Marisa Mayumi Kim

Provider IdIssuer StateIssuer TypeIssuer
74327755New MexicoMedicaid