Active NPI
Daye Kim, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1710290382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13929
- Practice address
- 833 S Western Ave
Ste 2
Los Angeles, CA 90005-3387 - Phone
- (213) 384-1001
- NPI assigned
- Jul 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13929 | CA | Primary |
Addresses
Primary practice location
833 S Western Ave
Ste 2
Los Angeles, CA 90005-3387
Mailing address
1842 S Marengo Ave
Apt 44
Alhambra, CA 91803-3066
Phone (714) 357-5709
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 |
|---|---|---|---|
| 13929 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Optometry Inc. | Optometrist | Past | Accepting new patients |
| Gold Optometry Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Garden Grove, CA
- NPI 1275683880
-
- Optometrist
- Los Angeles, CA
- NPI 1487703963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1710290382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 S MARENGO AVE",
"address_2": "APT 44",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033066",
"telephone_number": "714-357-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S WESTERN AVE",
"address_2": "STE 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900053387",
"telephone_number": "213-384-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAYE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13929",
"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 Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.