Active NPI
Paul S Kim, OD
- Optometrist
- Irvine, CA
National Provider Identifier
1275654857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33864
- Practice address
- 14210 Culver Dr Ste F
Irvine, CA 92604-0313 - Phone
- (949) 857-1060
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33864 | CA | Primary |
Addresses
Primary practice location
14210 Culver Dr Ste F
Irvine, CA 92604-0313
Mailing address
249 Lockford
Irvine, CA 92602-0957
Phone (630) 903-8988
Other practice location 1
621 S Western Ave Ste 214
Los Angeles, CA 90005-3042
Phone (213) 573-2012
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint Optometry Arcadia | Optometrist | Current | Accepting new patients |
| Mint Optometry a Professional Corporation | Optometrist | Current | Accepting new patients |
| Paul Kim, O.D., a Professional Corporation | Optometrist | Current | Accepting new patients |
Locations
29 E Huntington Dr
#B
Arcadia, CA 91006
Phone (626) 303-1888
14210 Culver Dr
Ste F
Irvine, CA 92604
Phone (949) 857-1060
621 S Western Ave
Ste 214
Los Angeles, CA 90005
Phone (213) 389-1001
Organizations & group practices 3
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.
-
- Optometrist
- Arcadia, CA
- NPI 1477352755
-
dba MASQ Optometry
- Optometrist
- Los Angeles, CA
- NPI 1407563661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1275654857",
"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": "14210 CULVER DR STE F",
"city": "IRVINE",
"state": "CA",
"postal_code": "926040313",
"telephone_number": "949-857-1060"
}
],
"practiceLocations": [
{
"address_1": "621 S Western Ave Ste 214",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900053042",
"country_code": "US",
"telephone_number": "213-573-2012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "PAUL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.