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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL SUKKYU KIM, O.D.

Active Sole Proprietor

DR. MICHAEL SUKKYU KIM, O.D. is a Optometrist healthcare provider located in VISTA, California. NPI 1164546313 is currently active in the NPPES registry. Verify at CMS.

Optometrist · VISTA, CA

Registration Details

NPI Number
1164546313
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2007 (19.22951061466 yrs)
Last Updated
Jul 27, 2021
Licenses
286 (AK)
DA2093 (MD)
0618001782 (VA)
12174 (CA)
Sole Proprietor
Yes

Practice Information

Address
134 GRAPEVINE RD
VISTA, CA, 920834004
Browse CA providers · Browse ZIP 92083
Phone
7966315000
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Optometrist

Other Optometrist Providers in VISTA, CA

Name Credential NPI
DR. KEN LAY OD 1255329215
DR. KATHERINE L WANG OD 1871559872
CATHERINE EGUSA O.D. 1326093394
DR. RONALD CRAIG STOUT OD 1689787186
DR. RANDY LEE STONE OD 1891808325
MIRIAM BELTRAN FUCHS O.D. 1770668717
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.