Yang E Kim

Organization Active NPI Optometrist · Castroville, CA

NPI 1982019238 · NPPES record last updated Aug 13, 2014

Key facts

NPI
1982019238
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
12576 (CA)
Legal business name
YANG E KIM
Practice address
11280 Merritt St
A150
Castroville, CA 95012-3421
Phone
(831) 633-2525
NPI assigned
Jun 25, 2014
Organization subpart
No

Authorized official

Name
Brett Fredericks, O.D.
Title
Optometrist
Phone
(831) 633-2525

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11280 Merritt St
#A150
Castroville, CA 95012
Phone (831) 633-2525

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 12576 CA Yes

Addresses

Primary practice location

11280 Merritt St
A150
Castroville, CA 95012-3421

Mailing address

11280 Merritt St
A150
Castroville, CA 95012-3421
Phone (831) 633-2525

Other names

  • Castroville Optometry Doing business as

Other providers in Castroville, CA

All providers in Castroville, CA · Optometrist in California

Sources for this page

Verify at the official NPI Registry.