Kim E Admire, O.D.
Individual provider Active NPI Optometrist · Chula Vista, CA
NPI 1619035151 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1619035151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT 10752T (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090817000095 | CA | Practitioner - Optometry | 6608920269 | Practice locations: Chula Vista, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 10752T | CA | MD | Optometrist |
| 10752 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atelier Optica Optometry | Optometrist | Current | Accepting new patients |
| Steven T Klein OD & Kimberly Plattner OD a Professional Corporation | Optometrist | Past | Accepting new patients |
| John C Pack, O.D. and Beverly Bianes, O.D. Inc | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 10752T | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0107521 | Medicaid | CA |
Other providers in Chula Vista, CA
- Shane Adamos
- Heather R Adams
- Nicolo Addario
- Lisa Adkison
- Adla D. Tessier, MD, Inc
- Adult Medicine and Wellness Inc
- Adult Protective Services Inc
- Advanced Eye Care
- Advanced Practice Nursing Care & Wellness
- Advanced Therapy Services, Inc.
All providers in Chula Vista, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.