Mint Optometry a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MINT OPTOMETRY A PROFESSIONAL CORPORATION

Doing business as

Mint Optometry

Practice address

14210 Culver Dr Ste F
Irvine, CA 92604-0313

Phone

(949) 857-1060

NPI assigned

Sep 22, 2023

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kim, ODNPI 1275654857

Title

President

Phone

(630) 903-8988

Specialties & licenses 1

Addresses

Other names 1

• Mint Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul S Kim, OD

  • Optometrist
  • Irvine, CA
  • NPI 1275654857
  Medicare reassignment NPD Authorized official
• Virgil Don Holland Jr., O.D.

  • Optometrist
  • Irvine, CA
  • NPI 1942361225
  NPD (past)

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1679352322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 CULVER DR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040313",
            "telephone_number": "630-903-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 CULVER DR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040313",
            "telephone_number": "949-857-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Orangethorpe Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231187",
            "country_code": "US",
            "telephone_number": "562-246-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINT OPTOMETRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-903-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mint Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.