Crystal Minhee Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15280 Issued in CA

Practice address

4247 S Mooney Blvd
Visalia, CA 93277-9146

Phone

(599) 749-0751

Fax

(599) 735-9786

NPI assigned

Jun 20, 2015

Last updated

May 25, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1952783482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779146",
            "telephone_number": "559-749-0751",
            "fax_number": "559-735-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779146",
            "telephone_number": "599-749-0751",
            "fax_number": "599-735-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CRYSTAL",
        "middle_name": "MINHEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2022-05-25",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60644887",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadi Kiaei, DO
• Kids 2 Dentist LLC
• Kids in Process Developmental Therapy
• Kaylene Nichole Kierce, CNM
• David E Kilgore, MD
• Dean Daehyun Kim, D.D.S.
• Hannah Yejin Kim, MD
• Hayoung Kim, DDS
• Ji-Hyun Kim, DDS
• Jun Kim, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.