Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720115850 Individual Practitioner Female Practitioner

Dr. Hetty Yi Kim , OD

Optometrist • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Dr. Hetty Kim, OD is a registered healthcare professional specializing in Optometrist in Van Nuys, CA. Practice services are available at 14914 SHERMAN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14914 Sherman Way

Van Nuys, CA 914052113

Telephone 8187872020
Fax 8187878652
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
20 Specialists

Practicing in Van Nuys, 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 12390T

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License CA 12390T

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Optom License
OPT12390T (CA)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Hanh Le , OD

Optometrist

NPI 1023098613

Doctor of Optometry

NPI 1205832474

Doctor of Medicine (M.D.)

Dr. Nga Lu , OD

Optometrist

NPI 1437278819

Doctor of Optometry

NPI 1457358368

Doctor of Medicine (M.D.)

NPI 1518964436

Doctor of Optometry

NPI 1699320499

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2012

Registered at 14914 SHERMAN WAY, VAN NUYS, CA 914052113 (Tel: 8187872020)

📍
Updated Business Mailing Address July 10, 2012

Registered at 14914 SHERMAN WAY, VAN NUYS, CA 914052113 (Tel: 8187872020)

👤
Provider Name / Credentials Updated July 10, 2012

Recorded as HETTY KIM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Optometrist (License #12390T in CA)

🟢
Initial NPI Registration & Enumeration February 27, 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: 1720115850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: February 11, 2022
Sole Proprietor: Yes

Mailing Address

14914 Sherman Way

Van Nuys, CA 914052113

Phone: 8187872020

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.