Michelle Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11566 Issued in CA

Practice address

2027 San Elijo Ave Ste 2027
Cardiff, CA 92007-1726

Phone

(760) 452-2895

Fax

(760) 452-2898

NPI assigned

Mar 3, 2006

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 CA

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

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Spektacles Optometry and Eyewear Inc.Group PAC ID 9133389315, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: michelle.kim.p1@direct.arch.nextgenshare.com

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.

• Arch Health Partners, Inc

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment Care Compare group NPD
• Spektacles Optometry and Eyewear Inc.

  • Optometrist
  • Cardiff, CA
  • NPI 1780954818
  Medicare reassignment Care Compare group NPD
• Arch Health Partners

  • Obstetrics & Gynecology Physician
  • Escondido, CA
  • NPI 1518217330
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1457328825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 SAN ELIJO AVE STE 2027",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "760-452-2895",
            "fax_number": "760-452-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 SAN ELIJO AVE STE 2027",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "760-452-2895",
            "fax_number": "760-452-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Hebert
• Karen L. Helrich, PH.D.
• Kirstina Lillieth Hicks
• Arkeisha Nicolette Johnson-Solomon
• Ni Aye Khin, MD
• Jocelyn L Laraine, DC
• Emily Laspisa
• Leslie Lianne Laveroni, DC
• Sarah Anne Levinson, PHD
• Sarah E. Linke, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.