Active NPI
Julie Cheon Kim, O.D.
- Optometrist
- Huntington Beach, CA
National Provider Identifier
1881882223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14387T
- Practice address
- 7562 Center Ave
Huntington Beach, CA 92647-3002 - Phone
- (714) 372-7525
- NPI assigned
- Oct 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.010036 | IL | |
| Optometrist | 152W00000X | 14387T | CA | Primary |
Addresses
Primary practice location
7562 Center Ave
Huntington Beach, CA 92647-3002
Mailing address
PO Box 54851
Irvine, CA 92619-4851
Other practice location 1
221 S Vermont Ave
Los Angeles, CA 90004-5906
Phone (213) 388-7020
Other practice location 2
221 S Vermont Ave
Los Angeles, CA 90004-5906
Phone (213) 388-7020
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7562 Ctr Ave
Huntington Beach, CA 92647-3002
Phone (714) 372-7525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14387T | CA | MD | Optometrist |
| 046.010036 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Past | Accepting new patients | |
| Visionworks, Inc. | 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 and National Provider Directory roles.
-
- Optometrist
- Huntington Beach, CA
- NPI 1922420561
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Optometrist
- Niles, IL
- NPI 1831115906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881882223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54851",
"city": "IRVINE",
"state": "CA",
"postal_code": "926194851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7562 CENTER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473002",
"telephone_number": "714-372-7525"
}
],
"practiceLocations": [
{
"address_1": "221 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900045906",
"country_code": "US",
"telephone_number": "213-388-7020",
"fax_number": "213-388-7022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900045906",
"country_code": "US",
"telephone_number": "213-388-7020",
"fax_number": "213-388-7022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JULIE",
"middle_name": "CHEON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.010036",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14387T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.