Organization Active NPI

Kim Family Eyecare, Professional Corporation

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1508085077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
404 Issued in NV
Legal business name
KIM FAMILY EYECARE, PROFESSIONAL CORPORATION
Practice address
8060 W Tropical Pkwy
Suite 1
Las Vegas, NV 89149-4528
Phone
(702) 839-2202
Fax
(702) 839-2608
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Kim, O.D.NPI 1821270315
Title
President
Phone
(702) 839-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 404 NV Primary

Addresses

Primary practice location

8060 W Tropical Pkwy
Suite 1
Las Vegas, NV 89149-4528

Mailing address

404 Lorelei Rock St
Las Vegas, NV 89138-3016
Phone (702) 839-2202

National Provider Directory

National Provider Directory
Tax ID family
Kim Family Eyecare Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8060 W Tropical Pkwy
Ste 1
Las Vegas, NV 89149
Phone (702) 839-2202

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508085077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LORELEI ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383016",
            "telephone_number": "702-839-2202",
            "fax_number": "702-839-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 W TROPICAL PKWY",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494528",
            "telephone_number": "702-839-2202",
            "fax_number": "702-839-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FAMILY EYECARE, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-839-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.