Jane Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13140 Issued in CA

Practice address

1741 E Washington Blvd
Pasadena, CA 91104-2752

Phone

(626) 696-3607

Fax

(626) 696-3608

NPI assigned

Nov 3, 2006

Last updated

Nov 8, 2011By the provider in NPPES

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

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

Southern California College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alan M Berg MD Inc and Robert E Feinfield MD IncGroup PAC ID 4789674359, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan M Berg MD Inc and Robert E Feinfield MD Inc

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1164567004

  Optometrist

  Medicare reassignment Care Compare group NPD
• Blue Sky Optometry

  • Optometrist
  • San Gabriel, CA
  • NPI 1619182839
  NPD (past) Authorized official
• Burbank Eyecare Inc

  • Optometrist
  • Burbank, CA
  • NPI 1609017854
  Authorized official Same address or phone
• Vision San Gabriel Optometry, Inc.

  • Optometrist
  • San Gabriel, CA
  • NPI 1225168719
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1891874574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042752",
            "telephone_number": "626-696-3607",
            "fax_number": "626-696-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042752",
            "telephone_number": "626-696-3607",
            "fax_number": "626-696-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Sun Kim
• Harry Hanwool Kim
• Hayoung Kim
• Hoejeong Kim
• Hong Ku Kim, D.D.S.
• Jay Kim, NP
• Jayne Kim, MFTI
• Ji Hyung Kim
• Joanna Yae-Eun Kim
• John Kim, MA MFT

• Optometrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.