Young S. Kim Optometric Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10134T Issued in CA

Legal business name

YOUNG S. KIM OPTOMETRIC CENTER INC.

Doing business as

iLA Optometry

Practice address

3183 Wilshire Blvd
#115
Los Angeles, CA 90010-1211

Phone

(213) 738-0007

Fax

(213) 738-0033

NPI assigned

Dec 5, 2013

Last updated

May 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Young S Kim, ODNPI 1184616567

Title

President

Phone

(213) 738-0007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• iLA Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Sun Kim, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1184616567
  Medicare reassignment NPD Authorized official
• Nicole Noelani Chang, OD

  • Optometrist
  • Waipahu, HI
  • NPI 1073976635
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1952732679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3183 WILSHIRE BLVD",
            "address_2": "#115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101211",
            "telephone_number": "213-738-0007",
            "fax_number": "213-738-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 WILSHIRE BLVD",
            "address_2": "#115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101211",
            "telephone_number": "213-738-0007",
            "fax_number": "213-738-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG S. KIM OPTOMETRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-738-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10134T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iLA Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iLA Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Young Choi Medical Corporation
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• Young Kim Dental Group of Westmoreland Inc
• Young Kim, DDS, Inc. (Welcome Dentistry & Braces)
• Young Men's Christian Association of Metropolitan Los Angeles
• Young S. Suh Anesthesia, Inc.
• Young S. Suh, Anesthesia, Inc.
• Young Women's Freedom Center
• Nehizena Young-Edo
• Benetia Young-James

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.