Marina Optometry a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARINA OPTOMETRY A PROFESSIONAL CORPORATION

Practice address

588 Washington Blvd
Marina del Rey, CA 90292-5421

Phone

(310) 577-6608

NPI assigned

Jul 13, 2023

Last updated

Aug 18, 2023By 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. Paul Kim, ODNPI 1275654857

Title

President

Phone

(630) 903-8988

Specialties & licenses 1

Addresses

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.

• Paul S Kim, OD

  • Optometrist
  • Irvine, CA
  • NPI 1275654857
  Authorized official Same address or phone

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1255010542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 LOCKFORD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020957",
            "telephone_number": "630-903-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925421",
            "telephone_number": "310-577-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA OPTOMETRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-903-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Cosmetic Implant Dentistry
• Marina Dental Center
• Marina Dental Center
• Marina Dental Center
• Marina Dermatology Associates (Comprehensive Skin Care)
• Marina Ortho, Inc.
• Marina Outpatient Surgery Center
• Marina Psychological Services
• Marina View Surgery Center
• Marina Women's Medical Group, Inc.

• Optometrist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.