NPI

Ealeen Kim

NPI 1568815322

Read from the NPPES registry on October 26, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2016-07-18
Last updated
2020-09-29

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Specialties

Licenses

License GA
OPT002968

Location

Practice location
3333 Buford Dr Ste 2002
City
Buford GA
Postal code
30519-4935
Phone
(678) 482-4585

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Optometrists in Buford, GA. 35 with this primary taxonomy in the public file.

Other NPIs in Buford, GA. 1,280 records in the public file.

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