AGNES (YANG EUN) PYONG KIM (NPI# 1063537397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063537397 |
| Entity Type | Individual |
| Full Name | AGNES (YANG EUN) PYONG KIM |
| Other Name | YANG EUN PYONG KIM |
| Credential | O.D. |
| Practice Address |
1021 Arnold Dr Located Inside Wal-mart Martinez CA 94553-4103 |
| Mailing Address |
6084 Ralston Ave Richmond CA 94805-1202 |
| Practice Telephone | 9259579378 |
| Practice Fax Number | 9259579417 |
| Mailing Telephone | 5102152329 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12313T | CA | Eye and Vision Services Providers |
| Street Address |
1021 ARNOLD DR LOCATED INSIDE WAL-MART |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942227293 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2006-07-16 |
| 1013561497 | Grace Elizabeth Collinson | Pharmacist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2019-07-24 |
| 1780185322 | Yama F Saied | Pharmacist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2018-02-27 |
| 1386965937 | Tung Nguyen | Optometrist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2010-06-17 |
| 1598945925 | Firstsight Vision Services, Inc. | Optometrist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2007-11-14 |
| 1598846511 | Wal-mart Stores, Inc. | Technician/Technologist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1770196636 | Orbic Eye Care | Optometrist | 339 Furys Ferry Rd Ste 1, Martinez, GA 30907-3072 | 2020-08-28 |
| 1700244472 | Alpha and Omega Vision Center | Optometrist | 3836 Washington Rd, Suite 2, Martinez, GA 30907-5058 | 2016-02-09 |
| 1528393915 | Martinez Eye Care,p.c. | Optometrist | 454 Furys Ferry Rd, Suite B, Martinez, GA 30907-9506 | 2009-10-02 |
| 1699906743 | Ling Yu | Optometrist | 339 Furys Ferry Rd, Ste 1, Martinez, GA 30907-3072 | 2009-08-06 |
| 1962537993 | Dr. E. Jack Moomey, PC | Optometrist | 127 S Belair Rd, Martinez, GA 30907-9111 | 2007-02-22 |
| 1568432631 | Edward A Williams | Optometrist | 835 Main St, Martinez, CA 94553-1225 | 2006-01-23 |
| 1689657322 | Myeyedr Optometry of Georgia, LLC | Optometrist | 503 Furys Ferry Rd, Martinez, GA 30907-9059 | 2005-11-28 |
| 1043643398 | Southern Eye Consultants, LLC | Optometrist | 503 Furys Ferry Rd, Martinez, GA 30907-9059 | 2013-08-09 |
| 1003180597 | Edward A. Williams, O.d., Inc. | Optometrist | 835 Main St, Martinez, CA 94553-1225 | 2012-02-29 |
| 1386965937 | Tung Nguyen | Optometrist | 1021 Arnold Dr, Martinez, CA 94553-4103 | 2010-06-17 |
| Find all providers in MARTINEZ | ||||
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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.