LULU Y KIM (NPI# 1194878744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194878744 |
| Entity Type | Individual |
| Full Name | LULU Y KIM |
| Credential | OD |
| Practice Address |
2530 Bryan Ave Suite D Tustin CA 92782-8916 |
| Mailing Address |
2530 Bryan Ave Ste D Tustin CA 92782-8916 |
| Practice Telephone | 7148382020 |
| Mailing Telephone | 7144041917 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11036T | CA | Eye and Vision Services Providers |
| Street Address |
2530 BRYAN AVE SUITE D |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467677666 | 20-20 Eyecare Center Optometry Inc | Optometrist | 2530 Bryan Ave, Suite D, Tustin, CA 92782-8916 | 2007-04-16 |
| 1427101021 | Susan Chen | Optometrist | 2530 Bryan Ave, Suite # D, Tustin, CA 92782-8916 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124411285 | Retina Institute of California Medical Group | Optometrist | 14642 Newport Ave Ste 350, Tustin, CA 92780-6091 | 2015-03-13 |
| 1396166773 | Dorothy Lea | Optometrist | 15529 Azalea Dr, Tustin, CA 92782-1901 | 2014-01-02 |
| 1801123518 | Cathy Ong | Optometrist | 15501 Sonora St, Tustin, CA 92782-1937 | 2009-11-17 |
| 1407011273 | Elizabeth K Chung | Optometrist | 2521 Michelle Dr, Tustin, CA 92780-7014 | 2008-07-22 |
| 1104037456 | Barbara Jean Villa | Optometrist | 2700 Park Avenue, Tustin, CA 92782 | 2007-05-25 |
| 1548487333 | Jennifer Lee Jensen | Optometrist | 17300 East 17th St, Suite M, Tustin, CA 92780 | 2007-04-20 |
| 1467578963 | Todd J Silverberg | Optometrist | 13257 Jamboree Rd, Tustin, CA 92782-9158 | 2007-03-22 |
| 1023189735 | Joshua Kaye | Optometrist | 17602 17th St Ste 103, Tustin, CA 92780-1961 | 2006-11-13 |
| 1023129939 | Lori Shim Yoo | Optometrist | 2831 Park Ave, Tustin, CA 92782-2711 | 2006-08-31 |
| 1295775047 | Karen Toki Wakayama | Optometrist | 17300 17th St Ste M, Tustin, CA 92780-1955 | 2006-06-08 |
| Find all providers in TUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.