Vanessa Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

403 Issued in NV

Practice address

8060 W Tropical Pkwy Ste 1
Las Vegas, NV 89149-4528

Phone

(702) 839-2202

Fax

(702) 839-2608

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spectacle LTD

  • Optometrist
  • Las Vegas, NV
  • NPI 1790109122
  Medicare reassignment Authorized official
• Kim Family Eyecare, Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1508085077
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1326220740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LORELEI ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383016",
            "telephone_number": "702-839-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 W TROPICAL PKWY STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494528",
            "telephone_number": "702-839-2202",
            "fax_number": "702-839-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tae Kim
• Taekyu Kim, PHARM.D
• Tawny Kim
• Thomas C. Kim, MD
• Tiffany Kim, PA-C
• Victor Lee Kim, DO
• Vida Rose Kim, APRN, NP-C
• Wanseung Kim, APRN
• William Kim, M.D.
• Yealee Kim

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.