HEAWON KIM (NPI# 1912517707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912517707 |
| Entity Type | Individual |
| Full Name | HEAWON KIM |
| Credential | OD |
| Practice Address |
9192 Regents Rd Apt E La Jolla CA 92037-1442 |
| Practice Telephone | 8587756383 |
| Mailing Telephone | 8587756383 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34584 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533105 | Heawon Ludia Kim | Dentist | 1303 Packard St Ste 101, Ann Arbor, MI 48104-3874 | 2007-06-04 |
| Street Address |
9192 REGENTS RD APT E |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1386143790 | Matthew W.gentile, O.d., A Professional Optometric Corporation | Optometrist | 4150 Regents Park Row Ste 160, La Jolla, CA 92037-9138 | 2018-02-12 |
| 1417294091 | John Raymond Anthony | Optometrist | 6667 La Jolla Scenic Dr S, La Jolla, CA 92037-5735 | 2013-01-15 |
| 1700194040 | Mehri Moshtaghi | Optometrist | 9850 Genesee Ave Ste 310, La Jolla, CA 92037-1208 | 2010-09-21 |
| 1659521987 | Jesse A Camen | Optometrist | 5702 La Jolla Blvd Ste 102, La Jolla, CA 92037-7322 | 2008-09-23 |
| 1518187970 | Steven Paul Tayman | Optometrist | 4150 Regents Park Row #160, La Jolla, CA 92037-9138 | 2007-04-26 |
| 1538210844 | Damian M Ploof | Optometrist | 4130 La Jolla Village Dr Ste 102, La Jolla, CA 92037-1480 | 2007-01-15 |
| 1013075365 | Richard R Trainer | Optometrist | 930 Silverado St, La Jolla, CA 92037-4236 | 2006-12-05 |
| 1184710725 | Kathryn Wandel | Optometrist | 9500 Gilman Drive, #0039, La Jolla, CA 92093-0039 | 2006-10-04 |
| 1780778431 | Deborah L Prince | Optometrist | 3251 Holiday Court #689, Suite 200, La Jolla, CA 92037 | 2006-10-03 |
| 1386619906 | Wildon C Wong | Optometrist | 7825 Fay Avenue, Suite 140, La Jolla, CA 92037 | 2006-02-17 |
| Find all providers in LA JOLLA | ||||
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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.