Miae C. Kim, O.D., Optometric Coporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12312 Issued in CA

Legal business name

MIAE C. KIM, O.D., OPTOMETRIC COPORATION

Practice address

1296 Kifer Rd
Suite 602
Sunnyvale, CA 94086-5318

Phone

(408) 737-2020

Fax

(408) 716-2439

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Miae C Kim, O.D.

Title

Chief Executive Officer

Phone

(408) 737-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1043343833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 KIFER RD",
            "address_2": "SUITE 602",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865318",
            "telephone_number": "408-737-2020",
            "fax_number": "408-716-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 KIFER RD",
            "address_2": "SUITE 602",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865318",
            "telephone_number": "408-737-2020",
            "fax_number": "408-716-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAE C. KIM, O.D., OPTOMETRIC COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIAE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-737-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.