NPIMap

Organization Active NPI

Kimura McClenaghan Optometrics, Inc.

Doing business as ayumi eyewear

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1295212587
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13034T Issued in CA
Legal business name
KIMURA MCCLENAGHAN OPTOMETRICS, INC.
Doing business as
ayumi eyewear
Practice address
416 N Fairfax Ave
Los Angeles, CA 90036-1717
Phone
(323) 424-7280
NPI assigned
Jul 19, 2018
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Dr. Ayumi Angie Kimura, O.D.NPI 1699884650
Title
President/Optometrist
Phone
(310) 430-0225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13034T CA Primary

Addresses

Primary practice location

416 N Fairfax Ave
Los Angeles, CA 90036-1717

Mailing address

7062 Hawthorn Ave Apt 302
Los Angeles, CA 90028-7099
Phone (310) 430-0225

Other names 1

  • ayumi eyewear Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1295212587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 HAWTHORN AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287099",
            "telephone_number": "310-430-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361717",
            "telephone_number": "323-424-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMURA MCCLENAGHAN OPTOMETRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "KIMURA",
        "authorized_official_first_name": "AYUMI",
        "authorized_official_middle_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "310-430-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13034T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ayumi eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.