Organization Active NPI

Catherine Kim Optometry

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1679067532
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14397 Issued in CA
Legal business name
CATHERINE KIM OPTOMETRY
Practice address
735 S Figueroa St Ste 137
Los Angeles, CA 90017-2574
Phone
(213) 622-0257
Fax
(213) 629-7432
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Catherine Kim, OD
Title
President
Phone
(213) 622-0257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14397 CA Primary

Addresses

Primary practice location

735 S Figueroa St Ste 137
Los Angeles, CA 90017-2574

Mailing address

1219 N Columbus Ave Apt 108
Glendale, CA 91202-3846
Phone (818) 321-6594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1679067532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N COLUMBUS AVE APT 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023846",
            "telephone_number": "818-321-6594",
            "fax_number": "213-629-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S FIGUEROA ST STE 137",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172574",
            "telephone_number": "213-622-0257",
            "fax_number": "213-629-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE KIM OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-622-0257",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.