Young Sun Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10134T Issued in CA

Practice address

3183 Wilshire Blvd Ste 115
Los Angeles, CA 90010-1279

Phone

(213) 738-0007

Fax

(213) 738-0033

NPI assigned

Aug 22, 2005

Last updated

May 9, 2018By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Young S. Kim Optometric Center Inc.

  dba iLA Optometry

  • Optometrist
  • Los Angeles, CA
  • NPI 1952732679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1184616567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3183 WILSHIRE BLVD STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101279",
            "telephone_number": "213-738-0007",
            "fax_number": "213-738-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 WILSHIRE BLVD STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101279",
            "telephone_number": "213-738-0007",
            "fax_number": "213-738-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "SUN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10134T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young Il Kim, D.O.
• Young K Kim, AC
• Young Man Kim, DOM, PH.D.
• Young O Kim, AC
• Young Sun Kim, MD
• Young Tek Kim, L.AC
• Young Uk Kim, LAC
• Youngbae Kim, DDS
• Youngeun Kim, LMFT
• Youngin Kim, ACUPUNCTURE

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.