Miae Chung Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12312 Issued in CA

Practice address

1296 Kifer Rd Ste 602
Sunnyvale, CA 94086-5318

Phone

(408) 737-2020

NPI assigned

Jan 10, 2007

Last updated

Mar 8, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miae C. Kim, O.D., Optometric Coporation

  • Optometrist
  • Sunnyvale, CA
  • NPI 1043343833
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1417007915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S WOLFE RD",
            "address_2": "STE 145",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940868880",
            "telephone_number": "408-737-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 KIFER RD STE 602",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865318",
            "telephone_number": "408-737-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIAE",
        "middle_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jooyoung Kim, D.M.D
• Joyce Kim, O.D
• Kimberly H Kim, DDS PHD
• Lauri Jiah Kim, D.D.S., M.S.D.
• Leslie Kim, DDS
• Min Jeong Kim, DDS
• Sang Eon Kim, D.C., LAC
• Son Kim
• Taehee Kim, L.AC.
• Yong Hun Kim, L.A.C.

• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.