Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164546313 Individual Practitioner Male Practitioner

Dr. Michael Sukkyu Kim , OD

Optometrist • Vista, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kim, OD is a registered healthcare professional specializing in Optometrist in Vista, CA. Practice services are available at 134 GRAPEVINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

134 Grapevine Rd

Vista, CA 920834004

Telephone 7966315000
Associated Practice Facility / Clinic
🏢 Vista Community Clinic Facility NPI 1851300123

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Vista, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Vista, 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

CMS Verified: 2021-07-27
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 12174

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

NUCC Taxonomy Code: 152W00000X

State License AK 286

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License MD DA2093

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0618001782

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Maria Robles

Case Manager/Care Coordinator

NPI 1134486905
Allison Cory , APRN

Nurse Practitioner - Family

NPI 1194027706

Advanced Practice Registered Nurse

Vania Baruch

Social Worker - Clinical

NPI 1205469053
NPI 1205868510

Doctor of Medicine (M.D.)

Jina Williams , FNP

Family Medicine - Adult Medicine

NPI 1225500259

Family Nurse Practitioner

Dr. Abbas Sedaghat , MD

Internal Medicine

NPI 1326089269

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 27, 2021

Registered at 134 GRAPEVINE RD, VISTA, CA 920834004 (Tel: 7966315000)

📍
Updated Business Mailing Address July 27, 2021

Registered at 1000 VALE TERRACE DR, VISTA, CA 920845218 (Tel: 7606315000)

NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2014

Registered at 1000 SEWARD MERIDIAN HIGHWAY, WASILLA, AK 99654 (Tel: 3109951151)

📍
Updated Business Mailing Address July 22, 2014

Registered at PO BOX 875413, WASILLA, AK 996875413 (Tel: 3109951151)

👤
Provider Name / Credentials Updated July 22, 2014

Recorded as MICHAEL KIM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Optometrist (License #286 in AK)

🟢
Initial NPI Registration & Enumeration March 16, 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: 1164546313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: July 27, 2021
Sole Proprietor: Yes

Mailing Address

1000 Vale Terrace Dr

Vista, CA 920845218

Phone: 7606315000

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.