Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619093739 Deactivated / Inactive NPI Female Practitioner

Dr. Soo Youn Kim , OD

Optometrist • Chino, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Soo Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2007
NPI Deactivation Date February 07, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Soo Kim, OD was a registered Optometrist practicing in Chino, CA. Throughout an active medical career spanning 17 years, Dr. Kim provided care at the practice location at 14147 PIPELINE AVE until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

14147 Pipeline Ave

Chino, CA 917105618

Telephone 9096280300
Fax 9095483302
Associated Practice Facility / Clinic
🏢 Soo Youn Kim Od Inc Facility NPI 1053594846

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Chino, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10349T

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336336239

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active October 08, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 08, 2008

Registered at 14147 PIPELINE AVE, CHINO, CA 917105618 (Tel: 9096280300)

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Updated Business Mailing Address October 08, 2008

Registered at 14147 PIPELINE AVE, CHINO, CA 917105618 (Tel: 9096280300)

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Provider Name / Credentials Updated October 08, 2008

Recorded as SOO KIM, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2008

Optometrist (License #10349T in CA)

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Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619093739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: October 08, 2008
Deactivation Date: February 07, 2024

Mailing Address

14147 Pipeline Ave

Chino, CA 917105618

Phone: 9096280300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.