Active NPI
Advanced Retina Care
- Ophthalmology Physician
- Fresno, CA
National Provider Identifier
1326437708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ADVANCED RETINA CARE
- Practice address
- 7145 N Chestnut Ave Ste 108
Fresno, CA 93720-0359 - Phone
- (559) 702-1212
- Fax
- (209) 546-6064
- NPI assigned
- Jan 22, 2015
- 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
- Dr. Vivian Y Kim, M.D.
- Title
- President
- Phone
- (559) 702-1212
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
7145 N Chestnut Ave Ste 108
Fresno, CA 93720-0359
Mailing address
PO Box 25097
Fresno, CA 93729-5097
Phone (559) 702-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- vkim@advancedretina.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Fresno, CA
- NPI 1669560041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1326437708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25097",
"city": "FRESNO",
"state": "CA",
"postal_code": "937295097",
"telephone_number": "559-702-1212",
"fax_number": "209-546-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 N CHESTNUT AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200359",
"telephone_number": "559-702-1212",
"fax_number": "209-546-6064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED RETINA CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-22",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-702-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Advanced Medical Imaging
- Advanced Medical Supply
- Advanced Pain Associates of California
- Advanced Physical and Occupational Therapy
- Advanced Radiation Oncology Services, Medical Corporation
- Advanced Specialty Care
- Advanced Specialty Care
- Advanced Surgery Center, Inc
- Advancing Independence, Inc
- Advent Healthcare Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.