Active NPI
Gold Optometry Inc.
Doing business as Gold Optometry
- Optometrist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12591T
- Legal business name
- GOLD OPTOMETRY INC.
- Doing business as
- Gold Optometry
- Practice address
- 8901 Garden Grove Blvd
Garden Grove, CA 92844-1213 - Phone
- (714) 530-1001
- Fax
- (714) 530-1289
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle H Kim, OD
- Title
- President
- Phone
- (213) 384-1001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12591T | CA | Primary |
Addresses
Primary practice location
8901 Garden Grove Blvd
Garden Grove, CA 92844-1213
Mailing address
8901 Garden Grove Blvd
Garden Grove, CA 92844-1213
Phone (714) 530-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD005481 | Medicaid | CA |
Other names 1
- Gold Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Gold Optometry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
8901 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 530-1001
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Los Angeles, CA
- NPI 1588713119
-
- Optometrist
- Los Angeles, CA
- NPI 1639067457
-
- Optometrist
- Garden Grove, CA
- NPI 1922995901
-
- Optometrist
- Los Angeles, CA
- NPI 1710290382
-
- Optometrist
- Garden Grove, CA
- NPI 1720121247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1275683880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441213",
"telephone_number": "714-530-1001",
"fax_number": "714-530-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441213",
"telephone_number": "714-530-1001",
"fax_number": "714-530-1289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD OPTOMETRY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-384-1001",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "12591T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD005481",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gold Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.