Van Le Sim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT14840-TLG Issued in CA

Practice address

200 E Cypress Ave
Lenscrafters at Macy'S
Burbank, CA 91502-1149

Phone

(818) 557-0016

Fax

(818) 557-1697

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Burbank, CA
  • NPI 1003367061
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1114353687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E CYPRESS AVE",
            "address_2": "LENSCRAFTERS AT MACY'S",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021149",
            "telephone_number": "818-557-1659",
            "fax_number": "818-557-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CYPRESS AVE",
            "address_2": "LENSCRAFTERS AT MACY'S",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021149",
            "telephone_number": "818-557-0016",
            "fax_number": "818-557-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "VAN",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14840-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silverlakes Home Health Care
• Norman Robert Silverman, M.D.
• Stuart Howard Silverman, LCSW
• Silverstar Hospice, Inc.
• Seo Young Sim, L.AC
• Shahen Simian
• Peter John Simic Jr., M.D.
• Jacleen Simjian
• Antonio Simmons
• Kathryn Simmons

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; 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.