Active NPI
Alice Kim, O.D.
- Optometrist
- Palmdale, CA
National Provider Identifier
1366840613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15141TLG
- Practice address
- 1233 W Avenue P
Suite 737
Palmdale, CA 93551-3947 - Phone
- (661) 575-9090
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15141TLG | CA | Primary |
Addresses
Primary practice location
1233 W Avenue P
Suite 737
Palmdale, CA 93551-3947
Mailing address
1233 W Avenue P
Suite 737
Palmdale, CA 93551-3947
Phone (661) 575-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15141TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1366840613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 W AVENUE P",
"address_2": "SUITE 737",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513947",
"telephone_number": "661-575-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 W AVENUE P",
"address_2": "SUITE 737",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513947",
"telephone_number": "661-575-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALICE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15141TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.