J&Jkim Vision Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

J&JKIM VISION ASSOCIATES, LLC

Practice address

2625 Old Denton Rd Ste 422
Carrollton, TX 75007-5140

Phone

(972) 245-5099

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Jane Kim, ODNPI 1841711082

Title

Owner

Phone

(469) 951-2108

Specialties & licenses 1

Addresses

Other names 1

• Itali Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Jane Kim, OD

  • Optometrist
  • Hurst, TX
  • NPI 1841711082
  Medicare reassignment NPD Authorized official
• Marc Terry Babin, OD

  • Optometrist
  • Carrollton, TX
  • NPI 1588767982
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1033683545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 INDIAN SPGS",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750076000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD DENTON RD STE 422",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075140",
            "telephone_number": "972-245-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&JKIM VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-951-2108",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Itali Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bhanumathi Ivatury, PHD LCSW
• Ivedco, LLC
• Vinaya Iyer
• J Subramanian MD PLLC
• J&J Dental Group
• Cynthia Aryn Jackson, DDS
• Miranda S Jackson, LPC
• Robert E Jackson, D.D.S.
• Arun Jacob, MD
• Sara Jacob, APRN-CNP

• Optometrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.