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Deactivated NPI 1639179724 Deactivated / Inactive NPI Male Practitioner

Dr. Victor Allen Lim , OD

Optometrist • Davis, CA

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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. Victor Lim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2005
NPI Deactivation Date September 04, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Victor Lim, OD was a registered Optometrist practicing in Davis, CA. Throughout an active medical career spanning 20 years, Dr. Lim provided care at the practice location at 1109 KENNEDY PL until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

1109 Kennedy Pl
Ste 1

Davis, CA 956161271

Telephone 5307562481
Fax 5307563548
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Davis, 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 5175

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 1932109410

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 September 04, 2025

Record deactivated on September 04, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1109 KENNEDY PL, STE 1, DAVIS, CA 956161271 (Tel: 5307562481)

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Updated Business Mailing Address July 08, 2007

Registered at 1109 KENNEDY PL, STE 1, DAVIS, CA 956161271 (Tel: 5307562481)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VICTOR LIM, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #5175 in CA)

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Initial NPI Registration & Enumeration July 29, 2005

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: 1639179724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2005
Last Update: July 08, 2007
Deactivation Date: September 04, 2025

Mailing Address

1109 Kennedy Pl, Ste 1

Davis, CA 956161271

Phone: 5307562481

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.