Individual provider Active NPI

Yura Kim, O.D.

  • Corneal and Contact Management Optometrist
  • Mountain View, CA
National Provider Identifier
1891060737
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
14368 Issued in CA
Practice address
644 San Antonio Rd
Mountain View, CA 94040-1304
Phone
(650) 948-3260
Fax
(650) 948-3657
NPI assigned
Mar 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 14368 CA Primary

Addresses

Primary practice location

644 San Antonio Rd
Mountain View, CA 94040-1304

Mailing address

644 San Antonio Rd
Mountain View, CA 94040-1304
Phone (650) 948-3260

Other practice location 1

2980 S Jones Blvd Ste A
Las Vegas, NV 89146-5657
Phone (702) 362-3937

Other practice location 2

2980 S Jones Blvd Ste A
Las Vegas, NV 89146-5657
Phone (702) 362-3937

Other practice location 3

3561 El Camino Real Ste 40
Santa Clara, CA 95051-2165
Phone (408) 984-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140423002262 NV Practitioner - Optometry 9335372564 Reassigns benefits to 3 organizations
I20190521000276 CA Practitioner - Optometry 9335372564 Reassigns benefits to 2 organizations
Practice locations: Mountain View, CA; Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yura Kim OD IncGroup PAC ID 5193262970, 4 clinicians
Yk Optometry IncGroup PAC ID 6800385113, 2 clinicians

Practice addresses (Care Compare)

1190 Scott Blvd
Suite a
Santa Clara, CA 95050-4562
Phone (408) 247-2600

644 San Antonio Rd
Mountain View, CA 94040-1304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14368CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Corneal and Contact Management CurrentSince Feb 16, 2014 Accepting new patients
Yk Optometry, Inc. Corneal and Contact Management CurrentSince Sep 7, 2025 Accepting new patients
Girisgen & Kopolow OD, PC Corneal and Contact Management CurrentSince Feb 16, 2014 Accepting new patients
Kopolow & Girisgen Professional Corporation CurrentSince Feb 16, 2014 Accepting new patients
Girisgen & Kopolow OD, PC Corneal and Contact Management Current Accepting new patients
Yura Kim OD Inc Corneal and Contact Management CurrentSince May 21, 2024 Accepting new patients
Steven a. Neunzig, O.D., Inc. Past Accepting new patients

Locations

644 San Antonio Rd
Mountain View, CA 94040
Phone (650) 948-3260

1190 Scott Blvd
Ste A
Santa Clara, CA 95050
Phone (408) 247-2600

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1891060737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 SAN ANTONIO RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401304",
            "telephone_number": "650-948-3260",
            "fax_number": "650-948-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 SAN ANTONIO RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401304",
            "telephone_number": "650-948-3260",
            "fax_number": "650-948-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 S Jones Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465657",
            "country_code": "US",
            "telephone_number": "702-362-3937",
            "fax_number": "702-362-7935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2980 S Jones Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465657",
            "country_code": "US",
            "telephone_number": "702-362-3937",
            "fax_number": "702-362-7935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3561 El Camino Real Ste 40",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950512165",
            "country_code": "US",
            "telephone_number": "408-984-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YURA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "14368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.