DR. DOUGLAS KIM (NPI# 1265510739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265510739 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS KIM |
| Credential | O.D. |
| Practice Address |
1130 Lake Plaza Dr Suite 230 Colorado Springs CO 80906-3594 |
| Practice Telephone | 7192193819 |
| Practice Fax Number | 7192190411 |
| Mailing Telephone | 7192193819 |
| Mailing Fax Number | 7192190411 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2784 | CO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | CA12426T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 79138276 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730586439 | Douglas Kim | Acupuncturist | 2810 Beverly Blvd, Los Angeles, CA 90057-1010 | 2014-11-24 |
| 1083045173 | Douglas Kim | Dentist | 2801 W Ball Rd, Suite 10, Anaheim, CA 92804-4900 | 2013-11-27 |
| 1376868893 | Douglas T Kim | Acupuncturist | 937 Russell Ave, Suite A, Gaithersburg, MD 20879-3280 | 2010-03-29 |
| 1881778249 | Douglas Duck Young Kim | Surgery | 8642 Woodhaven Blvd, Woodhaven, NY 11421-1439 | 2006-10-24 |
| 1962856070 | Douglas William Kim | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2016-04-15 |
| 1689835589 | Douglas J Kim | Pathology | 9229 Lbj Fwy, Dallas, TX 75243-3405 | 2008-06-23 |
| Street Address |
1130 LAKE PLAZA DR SUITE 230 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269319 | Thomas Park Sutton | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2005-07-14 |
| 1336693217 | Marc J Ofchinick | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2016-08-09 |
| 1861843203 | Brendan Moffat Tobler | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2016-06-27 |
| 1124479076 | David Robbins | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2016-06-22 |
| 1760867402 | Lindsay M Sallecchia | Optometrist | 1130 Lake Plaza Dr, #130, Colorado Springs, CO 80906-3594 | 2015-07-23 |
| 1669604781 | Eric Gregory Boschen | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2009-08-24 |
| 1053543462 | Maria T Bise | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2009-08-18 |
| 1477760981 | Abba Eye Care PC | Optometrist | 1130 Lake Plaza Dr, Suite #130, Colorado Springs, CO 80906-3594 | 2007-05-16 |
| 1356563134 | Richard A Martinez | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2007-05-02 |
| 1326109265 | Tim M Burrows | Optometrist | 1130 Lake Plaza Dr, Suite 230, Colorado Springs, CO 80906-3594 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1538708052 | Bauer Eyecare Pllc | Optometrist | 3625 Star Ranch Rd, Colorado Springs, CO 80906-5980 | 2020-01-01 |
| 1104460682 | Optimism Eye Care Co Pllc | Optometrist | 4130 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2019-10-29 |
| 1881256147 | Eye Love Care Inc | Optometrist | 4465 Northpark Dr Ste 208, Colorado Springs, CO 80907-4238 | 2019-07-07 |
| 1063073245 | Jade Mclachlin | Optometrist | 3532 Van Teylingen Dr Apt C, Colorado Springs, CO 80917-4822 | 2019-06-27 |
| 1588225130 | Katherine Austin Barton | Optometrist | 1803 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-06-25 |
| 1447818869 | Allison Anne Ruehlen | Optometrist | 4195 Centennial Blvd, Colorado Springs, CO 80907-3767 | 2019-05-31 |
| 1386116168 | Infocus Eye Care, Pllc | Optometrist | 1234 E Woodmen Rd Unit 120, Colorado Springs, CO 80920-8248 | 2018-12-18 |
| 1720574544 | Devin Jackson | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2018-07-04 |
| 1508383126 | Abba Dry Eye & Allergy Clinic, P.C. | Optometrist | 4465 Northpark Dr Ste 206, Colorado Springs, CO 80907-4238 | 2017-08-24 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.