Active NPI
Catherine Kim, O.D.
- Optometrist
- Reseda, CA
National Provider Identifier
1720333693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14397
- Practice address
- 7217 Reseda Blvd
Reseda, CA 91335-3046 - Phone
- (818) 345-2010
- Fax
- (818) 345-2070
- NPI assigned
- Jul 17, 2012
- Last updated
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 14397 | CA | Primary |
Addresses
Primary practice location
7217 Reseda Blvd
Reseda, CA 91335-3046
Mailing address
453 Ivy St
Apt. 5
Glendale, CA 91204-1279
Phone (818) 321-6594
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14397 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecon Optometry Partnership | Optometrist | Past | Accepting new patients |
| Laura K. Ha, O.D. Optometry a Professional Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Los Angeles, CA
- NPI 1679067532
-
dba Eyecon Optometry
- Corneal and Contact Management Optometrist
- Reseda, CA
- NPI 1588940647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1720333693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 IVY ST",
"address_2": "APT. 5",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041279",
"telephone_number": "818-321-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7217 RESEDA BLVD",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353046",
"telephone_number": "818-345-2010",
"fax_number": "818-345-2070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CATHERINE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.