Walter Yim OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12675 TLG Issued in CA

Legal business name

WALTER YIM OD A PROFESSIONAL CORPORATION

Practice address

16450 Bolsa Chica St
Huntington Beach, CA 92649-2603

Phone

(714) 840-1366

Fax

(714) 846-9415

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Walter Yim, O.D.NPI 1962531228

Title

Ceo

Phone

(714) 840-1366

Specialties & licenses 1

Addresses

Other names 1

• PACIFIC EYE CARE, DOCTORS OF OPTOMETRY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Yim, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1962531228
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Uchizono, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1689125502
  Medicare reassignment Care Compare group NPD
• Timothy Charles Jankowski, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1912912718
  Medicare reassignment Care Compare group
• Alexander Tyler Elson, O.D.

  • Optometrist
  • Tustin, CA
  • NPI 1073962163
  Medicare reassignment NPD
• Ryan Funai, OD

  • Optometrist
  • Anaheim, CA
  • NPI 1003537598
  Medicare reassignment NPD
• Faria Islam, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1538647979
  Medicare reassignment NPD
• Kara Megumi Takeda, O.D.

  • Optometrist
  • Lakewood, CA
  • NPI 1205963121
  Medicare reassignment NPD

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1336486729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603",
            "telephone_number": "714-840-1366",
            "fax_number": "714-846-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603",
            "telephone_number": "714-840-1366",
            "fax_number": "714-846-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER YIM OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-840-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12675 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC EYE CARE, DOCTORS OF OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Walker
• Brynn Walker
• Shilah Walker
• Walmart Inc.
• Walmart Inc.
• Mary Denise Walton, LMFT
• Ireena Justine Salvatera Wang, RN, FNP-C
• Jeremy Wang, DPT
• Lawrence Wang, M.D.
• Yuan-Chun Wang, NP

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.