Mi-Jin Lim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10904T Issued in CA

Practice address

638 Camino de Los Mares
A120
San Clemente, CA 92673-2848

Phone

(949) 493-2269

Fax

(949) 493-2448

NPI assigned

Jan 3, 2007

Sex

Female

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 1

Other names 1

• Dr. Jean M Lim Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Jean M Lim Optometry, Inc

  • Optometrist
  • San Clemente, CA
  • NPI 1306071055
  Medicare reassignment
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1164589404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CAMINO DE LOS MARES",
            "address_2": "A120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732848",
            "telephone_number": "949-493-2269",
            "fax_number": "949-493-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CAMINO DE LOS MARES",
            "address_2": "A120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732848",
            "telephone_number": "949-493-2269",
            "fax_number": "949-493-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MI-JIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10904T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7678936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "LIM",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alida Leonard, TEACHER/SLP
• Julia Leigh Levine, M.S., R.D.
• Cleveland Lewis Jr., M.D.,
• Pamela Lewis, M.A., CCC-SLP
• Michelle Liddell, BCBA
• Tracy Rose Cynthia Lisauskas, LMFT, MA
• Sarah Kristine Little, PTA
• Colby Margaux Livingston, D.D.S.
• Sydney Loge
• Lisa Beth Lombardi, FNP, RN, BSN, BA, LE

• Optometrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.