Organization Active NPI

Patricia Kim

  • Optometrist
  • Belmont, CA
National Provider Identifier
1033411301
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PATRICIA KIM
Practice address
877 Ralston Ave
Belmont, CA 94002-2205
Phone
(650) 631-9882
Fax
(650) 631-9897
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Patricia Kim, O.D.
Title
Owner
Phone
(650) 631-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

877 Ralston Ave
Belmont, CA 94002-2205

Mailing address

877 Ralston Ave
Belmont, CA 94002-2205
Phone (650) 631-9882

Other names 1

  • Belmont Optique Doing business as

National Provider Directory

National Provider Directory

Locations

1050 El Camino Real
Ste C
Belmont, CA 94002
Phone (650) 631-9882

877 Ralston Ave
Belmont, CA 94002
Phone (650) 631-9882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1033411301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022205",
            "telephone_number": "650-631-9882",
            "fax_number": "650-631-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022205",
            "telephone_number": "650-631-9882",
            "fax_number": "650-631-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-631-9882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.