Jennifer Kim, OD. a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JENNIFER KIM, OD. A PROFESSIONAL CORPORATION

Doing business as

LUXE Optometry

Practice address

2209 E Baseline Rd Ste 400
Claremont, CA 91711-7902

Phone

(909) 765-5303

Fax

(909) 765-5304

NPI assigned

Jul 16, 2022

Last updated

Jul 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Kim, ODNPI 1295010627

Title

Optometrist/ President

Phone

(310) 367-9484

Specialties & licenses 1

Addresses

Other names 1

• LUXE Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer J. Kim, O.D.

  • Optometrist
  • Mount Clemens, MI
  • NPI 1295010627

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1205560034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5368 SHEMIRAN ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502378",
            "telephone_number": "310-367-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 E BASELINE RD STE 400",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917117902",
            "telephone_number": "909-765-5303",
            "fax_number": "909-765-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KIM, OD. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST/ PRESIDENT",
        "authorized_official_telephone_number": "310-367-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUXE Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert D. James, D.D.S.
• German Guillermo Jaquez, DDS
• Dania Jawad
• Deepthi Kumara Jayasekara, MD
• Raad Jeiroudi, M.D.
• Jennifer R. Boozer, D.O., Inc. (Granite Creek Family Medicine)
• Jennifer Sun, MD Inc.
• Gabriela L Jerez, LMFT
• Hua Jiang, MD
• Melanie Nicole Jimenez, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.