DR. YON SU KIM (NPI# 1891812855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891812855 |
| Entity Type | Individual |
| Full Name | DR. YON SU KIM |
| Credential | O.D. |
| Practice Address |
10655 Folsom Blvd Rancho Cordova CA 95670-4828 |
| Mailing Address |
10809 Ivoryton Way Mather CA 95655-3045 |
| Practice Telephone | 9163691140 |
| Practice Fax Number | 9163691148 |
| Mailing Telephone | 9163618211 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12449T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205983558 | Yon Sook Kim | Obstetrics & Gynecology | 3 Cooper Plz, Suite 300, Camden, NJ 08103-1438 | 2007-01-05 |
| Street Address |
10655 FOLSOM BLVD |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578580817 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10655 Folsom Blvd, Rancho Cordova, CA 95670-4828 | 2006-07-16 |
| 1841709342 | Qua Kim Huynh | Pharmacist | 10655 Folsom Blvd, Rancho Cordova, CA 95670-4828 | 2017-09-27 |
| 1538569819 | Robert Duong | Pharmacist | 10655 Folsom Blvd, Rancho Cordova, CA 95670-4828 | 2014-08-25 |
| 1124117601 | Walmart Stores, Inc. | Technician/Technologist | 10655 Folsom Blvd, Rancho Cordova, CA 95670-4828 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| 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 |
|---|---|---|---|---|
| 1114128147 | Lori D. Kam and Stephen K. Ching, O.d.s | Optometrist | 2248 Sunrise Blvd., Rancho Cordova, CA 95670 | 2007-05-29 |
| 1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
| 1336294909 | Jennifer Marie Mayer | Optometrist | 2868 Prospect Park Dr Ste 150, Rancho Cordova, CA 95670-6066 | 2007-01-24 |
| 1316090020 | Ann Miyamura | Optometrist | 10921 Olson Dr, Rancho Cordova, CA 95670-5659 | 2007-01-18 |
| 1336201680 | Gary C White | Optometrist | 2340 Sunrise Blvd, Suite 17, Rancho Cordova, CA 95670-4368 | 2006-12-14 |
| 1043321169 | Dwight Eugene Clark | Optometrist | 11216 Trinity River Drive, Rancho Cordova, CA 95670 | 2006-08-31 |
| 1700221108 | Ann K. Miyamura, O.d., Inc. | Optometrist | 10921 Olson Dr, Rancho Cordova, CA 95670-5659 | 2013-04-30 |
| 1285849265 | Teresa M. Gerard | Optometrist | 10921 Olson Dr, Rancho Cordova, CA 95670-5659 | 2007-05-11 |
| 1750423406 | Laser Vision Partners Inc | Optometrist | 2868 Prospect Park Dr, Suite 150, Rancho Cordova, CA 95670-6020 | 2007-02-12 |
| 1508907551 | Teresa M. Gerard O.d., Inc. | Optometrist | 10921 Olson Dr, Rancho Cordova, CA 95670-5659 | 2007-02-12 |
| Find all providers in RANCHO CORDOVA | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
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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.