Edward Louie Lim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06077T Issued in CA

Practice address

2109 Forest Ave
Suite 50
Chico, CA 95928-7680

Phone

(530) 342-9644

Fax

(530) 345-7547

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edlim@chicovisioncare.eyefinity-direct.com

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.

• Chico Vision Care Optometry Group

  • Optometrist
  • Chico, CA
  • NPI 1275519571
  NPD
• Pennington Optometric Corporation

  • Optometrist
  • Chico, CA
  • NPI 1104443399
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1104896372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE",
            "address_2": "SUITE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287680",
            "telephone_number": "530-342-9644",
            "fax_number": "530-345-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 FOREST AVE",
            "address_2": "SUITE 50",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287680",
            "telephone_number": "530-342-9644",
            "fax_number": "530-345-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EDWARD",
        "middle_name": "LOUIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "06077T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES ID #",
            "identifier": "03557",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION ID #",
            "identifier": "38805",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0060770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD ID #",
            "identifier": "8830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander J Light
• Mark W Light, MD
• Lim-Saunders-DDS Inc
• Christopher M. Lim
• David Lim, DMD
• Michael James Lim, DDS
• Yi Ling Lin
• Benjamin Lindberg
• Allison Lindeman, MSW, PPSC
• Margaret Clair Lingafeldt, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.