Individual provider Active NPI

Korrie Lynn Lalim, O.D.

  • Optometrist
  • Santa Rosa Beach, FL
National Provider Identifier
1932201878
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3910 Issued in FL
Practice address
2050 W County Highway 30a
Ste 119
Santa Rosa Beach, FL 32459-0187
Phone
(850) 608-3135
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-9380 IL
Optometrist 152W00000X OPC 3910 FL Primary

Addresses

Primary practice location

2050 W County Highway 30a
Ste 119
Santa Rosa Beach, FL 32459-0187

Mailing address

2050 W Hwy 30a
St 119
Santa Rosa Beach, FL 32459-4359
Phone (850) 608-3135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20141112000637 FL Practitioner - Optometry 1153223359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optikk 30a, PAGroup PAC ID 5395054761, 2 clinicians

Practice addresses (Care Compare)

2050 W County Hwy 30a
M 1 Suite 119
Santa Rosa Beach, FL 32459-4359

2050 W Hwy 30a
BLDG M1 Suite 119
Santa Rosa Beach, FL 32459-4359
Phone (850) 608-3135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3910FLMDOptometrist
046-9380ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Eye Care Optometrist CurrentSince Oct 22, 2014 Accepting new patients
Optikk 30a, PA Optometrist CurrentSince Apr 21, 2015 Accepting new patients

Locations

1714 W 23rd St
Ste K
Panama City, FL 32405
Phone (850) 215-9101

2050 W County Highway 30A
Ste 119
Santa Rsa Bch, FL 32459
Phone (850) 608-3135

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1932201878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W HWY 30A",
            "address_2": "ST 119",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594359",
            "telephone_number": "850-608-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "STE 119",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-608-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALIM",
        "first_name": "KORRIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-9380",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.