Active NPI
Joanne Kim, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1093755191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6791T
- Practice address
- 3323 W Olympic Blvd
Los Angeles, CA 90019-2351 - Phone
- (323) 732-8111
- Fax
- (323) 732-8314
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6791T | CA | Primary |
Addresses
Primary practice location
3323 W Olympic Blvd
Los Angeles, CA 90019-2351
Mailing address
3323 W Olympic Blvd
Los Angeles, CA 90019-2351
Phone (323) 732-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6791T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yim & Kook Professional Optometric Corporation | Optometrist | Past | Accepting new patients |
| Olympic Optometric Center, Inc., a Professional Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Optometrist
- Paramount, CA
- NPI 1417090606
-
- Corneal and Contact Management Optometrist
- Rowland Heights, CA
- NPI 1629272893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093755191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 W OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900192351",
"telephone_number": "323-732-8111",
"fax_number": "323-732-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 W OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900192351",
"telephone_number": "323-732-8111",
"fax_number": "323-732-8314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOANNE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6791T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.