Paul Kim Optometry Victorville a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PAUL KIM OPTOMETRY VICTORVILLE A PROFESSIONAL CORPORATION

Practice address

14309 Bear Valley Rd Ste 4
Victorville, CA 92392-7648

Phone

(760) 205-5901

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kim, OD

Title

President

Phone

(630) 903-8988

Specialties & licenses 1

Addresses

Other names 1

• Optique Optometry Other name

Locations

Practitioners 1

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

• Mai Nguyen

  • Optometrist
  • Riverside, CA
  • NPI 1730721739
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1093533804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 BEAR VALLEY RD STE 4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927648",
            "telephone_number": "760-205-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 BEAR VALLEY RD STE 4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927648",
            "telephone_number": "760-205-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KIM OPTOMETRY VICTORVILLE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-903-8988",
        "authorized_official_name_prefix": "Dr.",
        "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": "Optique Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricio and Sandra Bracero Haven, Inc
• Angela Patrick
• Jada Patterson
• Nicole Patterson
• Rechelle Patterson, DOULA
• Paul White M.D. Inc.
• Lystra Paul
• Sheila Adriana Paul, LMFT
• Tomasz J Pawlowski, MD
• Cesar Payan, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.