Active NPI
Jean Hojin Kim, O.D.
- Optometrist
- Garden Grove, CA
National Provider Identifier
1629097290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT8760
- Practice address
- 9618 Garden Grove Blvd
Suite 109
Garden Grove, CA 92844-1563 - Phone
- (714) 539-2020
- Fax
- (714) 539-2030
- NPI assigned
- Jul 18, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT8760 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPT8760 | CA | |
| Pediatric Optometrist | 152WP0200X | OPT8760 | CA | |
| Occupational Vision Optometrist | 152WX0102X | OPT8760 | CA |
Addresses
Primary practice location
9618 Garden Grove Blvd
Suite 109
Garden Grove, CA 92844-1563
Mailing address
9816 Garden Grove Blvd
Suite 109
Garden Grove, CA 92844-1617
Phone (714) 539-2020
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 |
|---|---|---|---|
| OPT8760 | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jhkim OD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Garden Grove, CA
- NPI 1265750954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1629097290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9816 GARDEN GROVE BLVD",
"address_2": "SUITE 109",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441617",
"telephone_number": "714-539-2020",
"fax_number": "714-539-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 GARDEN GROVE BLVD",
"address_2": "SUITE 109",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441563",
"telephone_number": "714-539-2020",
"fax_number": "714-539-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JEAN",
"middle_name": "HOJIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT8760",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT8760",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "OPT8760",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "OPT8760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.