Hayon Kim OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13256T Issued in CA

Legal business name

HAYON KIM OD INC

Practice address

3250 Big Dalton Ave
Optometrist Office
Baldwin Park, CA 91706-5107

Phone

(626) 851-8413

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Hayon Kim, O.D.NPI 1881892743

Title

President

Phone

(626) 851-8413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Hayon Kim, O.D.

  • Optometrist
  • Baldwin Park, CA
  • NPI 1881892743
  Medicare reassignment NPD (past) Authorized official

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1609300474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 BIG DALTON AVE",
            "address_2": "OPTOMETRIST OFFICE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065107",
            "telephone_number": "626-851-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 BIG DALTON AVE",
            "address_2": "OPTOMETRIST OFFICE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065107",
            "telephone_number": "626-851-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYON KIM OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-851-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13256T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Haro, LCSW
• Linda Hart
• Cassidy Alyse Harton
• Kieu L. Hatch, LMFT
• Josephine Hau
• Health Team Inc.
• Novellyn Hitchens Heard, MD
• Ruben Domingo Hechanova Jr., MPT
• Victoria Jane Hechanova
• Thomas Heer, M.D.

• Optometrist in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.