Active NPI
Julie Jung Eun Kim, O.D.
- Optometrist
- Buena Park, CA
National Provider Identifier
1972655371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12817
- Practice address
- 7960 Orangethorpe Ave
Buena Park, CA 90621-3437 - Phone
- (714) 521-3002
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12817 | CA | Primary |
Addresses
Primary practice location
7960 Orangethorpe Ave
Buena Park, CA 90621-3437
Mailing address
1319 Harbor Blvd.
Fullerton, CA 92832-3001
Phone (714) 525-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William K. Shiomi, O.D., Inc | Optometrist | Past | Accepting new patients |
| Alina Ho OD a Professional Corp | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Long Beach, CA
- NPI 1609022680
-
- Optometrist
- Carson, CA
- NPI 1477861755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1972655371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 HARBOR BLVD.",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323001",
"telephone_number": "714-525-3330",
"fax_number": "714-525-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 ORANGETHORPE AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213437",
"telephone_number": "714-521-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JULIE",
"middle_name": "JUNG EUN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.