Debbie Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13838 Issued in CA

Practice address

12100 Wilshire Blvd Ste 1275
Los Angeles, CA 90025-7143

Phone

(800) 485-9196

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debbie J Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Debbie J. Kim, O.D., Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1710254776
  NPD Authorized official
• Ohana Eyecare Inc.

  • Optometrist
  • Fairfield, CA
  • NPI 1457643132
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1639465701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RINDGE LN # B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD STE 1275",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257143",
            "telephone_number": "800-485-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DEBBIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "KIM",
            "middle_name": "J",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David S Kim, M.D
• David Seil Kim, MD, MS, MBA
• David Young Kim, D.C.
• Dawn Kim
• Daye Kim, O.D.
• Dennis H. Kim, MD
• Dennis Y. Kim, MD
• Dennis Yong Kim, MD
• Denny Han-Woong Kim, DO
• Diana Maria Kim, M.D.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.