Sul Ki Han, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34171TLG Issued in CA

Practice address

7339 El Cajon Blvd Ste JK
La Mesa, CA 91942-7435

Phone

(619) 722-8460

Fax

(619) 722-8465

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  dba Acuity Eye Group

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pamela I. Wu O.D. Inc.

  dba Spectrum Optometry

  • Optometrist
  • Irvine, CA
  • NPI 1235207127
  Medicare reassignment NPD
• Barry a. Katzman, M.D., Inc Apc

  dba West Coast Eye Care Associates

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750802195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 AUGUSTA LN",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705253",
            "telephone_number": "559-261-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 EL CAJON BLVD STE JK",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427435",
            "telephone_number": "619-722-8460",
            "fax_number": "619-722-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUL KI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9274T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "9274T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34171TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wahida Nadi Hamid, FNP
• Susan Hamilton
• Melinda Beth Hammack, PT
• Heather Lee Hammond, CNM
• Kaitelyn Hammond, L.AC., DACCHM
• Hanbleceya Treatment Center (Vision Quest)
• Erwin C Handley, MD
• Emily Fay Handy
• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Hanger Prosthetics & Orthotics West, Inc. (Inline Orthotics & Prosthetics)

• Optometrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.