Jean M Lim Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10904T Issued in CA

Legal business name

JEAN M LIM OPTOMETRY, INC

Doing business as

seaside eyecare

Practice address

638 Camino de Los Mares
A120
San Clemente, CA 92673-2848

Phone

(949) 493-2269

Fax

(949) 493-2448

NPI assigned

May 26, 2009

Last updated

May 26, 2009By 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. Jean Mi-Jin Lim, O.D.

Title

President

Phone

(949) 413-8333

Specialties & licenses 3

Addresses

Other names 1

• seaside eyecare 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.

• Mi-Jin Lim, O.D.

  • Optometrist
  • San Clemente, CA
  • NPI 1164589404
  Medicare reassignment

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1306071055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CAMINO DE LOS MARES",
            "address_2": "A120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732848",
            "telephone_number": "949-493-2269",
            "fax_number": "949-493-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CAMINO DE LOS MARES",
            "address_2": "A120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732848",
            "telephone_number": "949-493-2269",
            "fax_number": "949-493-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN M LIM OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MI-JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-413-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10904T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10904T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "10904T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "seaside eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James E Sorge DMD a Professional Corporation (Epic Family Dental)
• Bong Su Jang, DPT
• Barbara Y Jaramillo
• Michael Jaramillo, D.C.
• McKenna Jarrell
• Carolyn Jeffers
• Montana Jelden, PT, DPT
• Emily Jennings
• Emma Jessen
• Monica Lea Jessen, SLP

• Optometrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.