Individual provider Active NPI

Brandon Lim, OD

  • Optometrist
  • Washington, DC
National Provider Identifier
1932895323
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2000551 Issued in DC
Practice address
635 Pennsylvania Ave SE
Washington, DC 20003-4303
Phone
(202) 546-2838
NPI assigned
Apr 18, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2000551 DC Primary

Addresses

Primary practice location

635 Pennsylvania Ave SE
Washington, DC 20003-4303

Mailing address

635 Pennsylvania Ave SE
Washington, DC 20003-4303
Phone (202) 546-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230706000380 DC Practitioner - Optometry 5991164147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of DC LLCGroup PAC ID 6305063371, 15 clinicians

Practice addresses (Care Compare)

635 Pennsylvania Ave SE
Washington, DC 20003-4303
Phone (202) 546-2838

650 Massachusetts Ave NW
Washington, DC 20001-3796
Phone (202) 898-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2000551DCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Jun 5, 2023 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Jun 5, 2023 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients

Locations

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1932895323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034303",
            "telephone_number": "202-546-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034303",
            "telephone_number": "202-546-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BRANDON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP2000551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.