Individual provider Active NPI

Shung S. Kim, O.D.

  • Optometrist
  • Monrovia, CA
National Provider Identifier
1669446381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10499T Issued in CA
Practice address
937 W Huntington Dr
Monrovia, CA 91016-3111
Phone
(626) 357-0408
Fax
(626) 357-6768
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10499T CA Primary

Addresses

Primary practice location

937 W Huntington Dr
Monrovia, CA 91016-3111

Mailing address

937 W Huntington Dr
Monrovia, CA 91016-3111
Phone (626) 357-0408

Other identifiers 1

IdentifierTypeStateIssuer
SD0104991MedicaidCA

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
I20070123000244 CA Practitioner - Optometry 1850392606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Quest Optometry, Inc.Group PAC ID 4880695634, 2 clinicians

Practice addresses (Care Compare)

937 W Huntington Dr
Monrovia, CA 91016-3111
Phone (626) 357-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10499TCAMDOptometrist
10499CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Quest Optometry, Inc. Optometrist CurrentSince Dec 1, 2006 Accepting new patients

Locations

937 W Huntington Dr
Monrovia, CA 91016
Phone (626) 357-0408

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669446381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 W HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163111",
            "telephone_number": "626-357-0408",
            "fax_number": "626-357-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 W HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163111",
            "telephone_number": "626-357-0408",
            "fax_number": "626-357-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SHUNG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10499T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0104991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.