Jenny Yoojin Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35831 Issued in CA

Practice address

1741 Eastlake Pkwy Ste 101
Chula Vista, CA 91915-2032

Phone

(619) 421-6600

NPI assigned

Aug 24, 2024

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keddington & Kalra Optometrists Apc

  • Optometrist
  • Chula Vista, CA
  • NPI 1376793828
  Medicare reassignment NPD
• Michelle King OD Inc a Professional Corporation

  • Optometrist
  • Poway, CA
  • NPI 1609180603
  Medicare reassignment NPD
• Keddington & Kalra Optometrists Apc

  • Optometrist
  • Spring Valley, CA
  • NPI 1538204441
  NPD

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1497588362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032",
            "telephone_number": "619-421-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Sweetwater Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919775628",
            "country_code": "US",
            "telephone_number": "619-466-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14757 Pomerado Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642802",
            "country_code": "US",
            "telephone_number": "858-842-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1481 E Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919503613",
            "country_code": "US",
            "telephone_number": "619-477-2159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 Jamacha Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920194342",
            "country_code": "US",
            "telephone_number": "619-660-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNY",
        "middle_name": "YOOJIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azalia Kim
• Esther Kim
• Gyuwan Kim
• James T Kim, MD
• Janet Lynn Kim
• Jiun Kim, M.D.
• Min Joong Kim
• Nicole Kim
• Sarah Hiyun Kim
• Yeong Ri Kim, FNP

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.