NPIMap

Organization Active NPI

Jenny H. Kim, O.D., LLC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1194010082
Registry record updated Jun 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
611 Issued in NV
Legal business name
JENNY H. KIM, O.D., LLC
Practice address
1312 W Sunset Rd
Henderson, NV 89014-6606
Phone
(702) 458-7877
NPI assigned
Jun 19, 2011
Last updated
Jun 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2011

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

Authorized official

Name
Dr. Jenny H. Kim, O.D.
Title
Optometrist/Manager
Phone
(702) 463-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 611 NV Primary

Addresses

Primary practice location

1312 W Sunset Rd
Henderson, NV 89014-6606

Mailing address

10 Castle Creek CT
Las Vegas, NV 89148-2721

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308441600000",
    "number": "1194010082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CASTLE CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146606",
            "telephone_number": "702-458-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY H. KIM, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2011-06-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OPTOMETRIST/MANAGER",
        "authorized_official_telephone_number": "702-463-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; 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.