Richard Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

404 Issued in NV

Practice address

8060 W Tropical Pkwy Ste 1
Las Vegas, NV 89149-4528

Phone

(702) 839-2202

Fax

(702) 839-2608

NPI assigned

Nov 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Illinois College of Optometry at Chicago, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kim Family Eyecare Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1972715845
  Medicare reassignment NPD Authorized official
• Kim Family Eyecare, Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1508085077
  NPD (past) Authorized official
• Spectacle LTD

  • Optometrist
  • Las Vegas, NV
  • NPI 1790109122
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1821270315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LORELEI ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891383016",
            "telephone_number": "702-813-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 W TROPICAL PKWY STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494528",
            "telephone_number": "702-839-2202",
            "fax_number": "702-839-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kim
• Rachel Kim, PHARMD
• Rachelle Kim, PA
• Raymond N Kim, DDS
• Rebecca Kim, PA
• Richard Lee Kim Jr.
• Ron Kim
• Sally Kim, DDS
• Samuel I Kim, D.D.S., M.S.
• Sarah Kim, OD

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.