Individual provider Active NPI

Kim E Admire, O.D.

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1619035151
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 10752T Issued in CA
Practice address
555 Broadway
Suite 1021
Chula Vista, CA 91910-5307
Phone
(619) 427-6253
Fax
(619) 427-4110
NPI assigned
Dec 5, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 10752T CA Primary

Addresses

Primary practice location

555 Broadway
Suite 1021
Chula Vista, CA 91910-5307

Mailing address

555 Broadway
Suite 1021
Chula Vista, CA 91910-5307
Phone (619) 427-6253

Other identifiers 1

IdentifierTypeStateIssuer
SD0107521MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090817000095 CA Practitioner - Optometry 6608920269 Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 10752TCAMDOptometrist
10752CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atelier Optica Optometry Optometrist Current Accepting new patients
John C Pack, O.D. and Beverly Bianes, O.D. Inc Optometrist PastSince Apr 22, 2019 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1619035151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROADWAY",
            "address_2": "SUITE 1021",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105307",
            "telephone_number": "619-427-6253",
            "fax_number": "619-427-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADWAY",
            "address_2": "SUITE 1021",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105307",
            "telephone_number": "619-427-6253",
            "fax_number": "619-427-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMIRE",
        "first_name": "KIM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10752T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0107521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.