Susie Lee Lim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12140TPA Issued in CA

Practice address

610 Euclid Ave
Suite 302
National City, CA 91950-2951

Phone

(619) 472-1010

Fax

(619) 479-5233

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1790856367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81187",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921381187",
            "telephone_number": "619-472-1010",
            "fax_number": "619-479-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-472-1010",
            "fax_number": "619-479-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SUSIE",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12140TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0121400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E Liefland, PHD
• Ligera LLC
• Lilia Larin DDS Inc
• Tracy Liljequist, MFT
• Rosemarie Lim, M.D.
• Rosario Castillo Lincoln, DDS
• Jeanne Y Ling, CRNA
• Yuntzu Liu
• Bernardita Nazaire Lizan, DMD
• Ayleth Maricela Lizarraga

• Optometrist in National City, CA
• Providers in National City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.