Organization Active NPI

Kim Lai Optometry Inc

  • Optometrist
  • Northridge, CA
National Provider Identifier
1710632146
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KIM LAI OPTOMETRY INC
Practice address
8956 Corbin Ave
Northridge, CA 91324-3311
Phone
(818) 885-1954
Fax
(818) 885-0138
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Kim Lai, ODNPI 1952322521
Title
President
Phone
(714) 697-7419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

8956 Corbin Ave
Northridge, CA 91324-3311

Mailing address

8956 Corbin Ave
Northridge, CA 91324-3311
Phone (818) 885-1954

Other identifiers 1

IdentifierTypeStateIssuer
1952322521MedicaidCA

Other names 1

  • KIM LAI OD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NORTHRIDGEOPTICAL.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1710632146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243311",
            "telephone_number": "818-885-1954",
            "fax_number": "818-885-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 CORBIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243311",
            "telephone_number": "818-885-1954",
            "fax_number": "818-885-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LAI OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-697-7419",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952322521",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NORTHRIDGEOPTICAL.COM",
            "affiliation": "N",
            "endpointDescription": "OFFICE WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OFFICE WEBSITE",
            "address_1": "8956 Corbin Ave",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913243311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KIM LAI OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.