Individual provider Active NPI

Christine Yim, O.D.

  • Optometrist
  • San Rafael, CA
National Provider Identifier
1003265588
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33421TLG Issued in CA
Practice address
4000 Civic Center Dr Ste 200a
San Rafael, CA 94903-5233
Phone
(415) 519-6582
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33421TLG CA Primary

Addresses

Primary practice location

4000 Civic Center Dr Ste 200a
San Rafael, CA 94903-5233

Mailing address

4000 Civic Center Dr Ste 200a
San Rafael, CA 94903-5233
Phone (415) 519-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000999 CA Practitioner - Optometry 9335423912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meister Eye and Laser Center, a Medical Group, IncGroup PAC ID 9739133190, 4 clinicians

Practice addresses (Care Compare)

1524 Eureka Rd
Roseville, CA 95661-2850
Phone (916) 318-7821

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
60.95
Improvement activities
40
Cost
82.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33421CAMDDentist
33421TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
Meister Eye & Laser Center, a Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

50 Iron Point Cir
Ste 130
Folsom, CA 95630
Phone (916) 222-3523

725 University Ave
Palo Alto, CA 94301
Phone (650) 321-2015

725 University Ave
#A
Palo Alto, CA 94301
Phone (650) 329-1600

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1386 Lead Hill Blvd
Ste 140
Roseville, CA 95661
Phone (916) 318-7821

1524 Eureka Rd
Roseville, CA 95661
Phone (916) 318-7821

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1003265588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 200A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "415-519-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 200A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "415-519-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33421TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.