Active NPI
Lorie Jihae Kook, O.D.
- Optometrist
- Paramount, CA
National Provider Identifier
1619947181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 11071T
- Practice address
- 16444 Paramount Blvd
Ste 206
Paramount, CA 90723-5422 - Phone
- (323) 732-8111
- Fax
- (323) 638-2934
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 11071T | CA | Primary |
Addresses
Primary practice location
16444 Paramount Blvd
Ste 206
Paramount, CA 90723-5422
Mailing address
16444 Paramount Blvd
Ste 206
Paramount, CA 90723-5422
Phone (323) 732-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD110710 | Medicaid | CA |
Other names 1
- Ji Hae Kook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11071 | CA | MD | Professional Counselor |
| OPT 11071T | CA | MD | Optometrist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1619947181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16444 PARAMOUNT BLVD",
"address_2": "STE 206",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235422",
"telephone_number": "323-732-8111",
"fax_number": "323-638-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16444 PARAMOUNT BLVD",
"address_2": "STE 206",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235422",
"telephone_number": "323-732-8111",
"fax_number": "323-638-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOK",
"first_name": "LORIE",
"middle_name": "JIHAE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 11071T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD110710",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JI",
"last_name": "KOOK",
"middle_name": "HAE",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.