NPPES file of Aug 9, 2026

Carolyn C. Kim, OD

Optometrist · Glendale, CA

Carolyn C. Kim, OD is an optometrist with a practice address in Glendale, California, and NPI 1467439836, issued on Dec 28, 2005. Check the license (California 11404TPA, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1467439836
Name
Carolyn C. Kim
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License number
11404TPA CA
Self-reported in NPPES; status is on the state search
Practice location
607 N Central Ave, Glendale, CA 91203
Phone
(818) 956-1010
Enumerated
Dec 28, 2005
Record last updated
Mar 5, 2024
Fax
(818) 543-6083
Medicaid ID
ZZZ75843Z CA
Medicare enrollment
Enrolled (PECOS I20040908001407); accepts Medicare assignment
Medical or professional school
Southern College Of Optometry, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 607 N Central Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephen Chang, MDOphthalmology Physician1346226081
  2. Hamlet Davari, D.D.S.General Practice Dentistry1467519140
  3. Gary Finer, DDSGeneral Practice Dentistry1851359012
  4. Frank Grossman, DDSGeneral Practice Dentistry1770503419
  5. Gary Havens, M.D.Specialist1497763999
  6. S Panosian, ODOptometrist1811972953

Verify Carolyn C. Kim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 11404TPA
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 96.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%71.5
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Usc Care Medical Group IncLos Angeles, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

65 optometrist records list a practice address in Glendale

They are 65 of the 4,742 NPPES records with a practice address in Glendale, and 8,308 optometrist records in California.

Other optometrist records in California

  1. Douglas Aaseby, O.D.El Dorado Hills, CA1962715961
  2. Saloumeh Abadi, ODSanta Monica, CA1699258756
  3. Davoud AbbasiFillmore, CA1902361678
  4. Christopher Abbott, O.D.Santee, CA1417936220
  5. Sara Abboud, ODAlbany, CA1649052846
  6. Ghezal Abdali, O.D.Tustin, CA1770688640
  7. Nahid Abdali, O.D.San Ramon, CA1700210242
  8. Yasmeen AbdelfattahIrvine, CA1417786617
  9. Marina Abdou, ODUpland, CA1356017321
  10. Angela Abe, OPTModesto, CA1336108885

Common questions

What is Carolyn C. Kim, OD's NPI number?

Carolyn C. Kim, OD's National Provider Identifier (NPI) is 1467439836, issued on Dec 28, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Carolyn C. Kim, OD located?

The NPPES record lists a practice address at 607 N Central Ave, Glendale, CA, 91203. Phone: (818) 956-1010. Providers update this record themselves, so call before visiting.

How can I verify Carolyn C. Kim, OD's license?

NPPES lists California license number 11404TPA, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

What is Carolyn C. Kim, OD's MIPS final score?

The 2023 MIPS final score is 96.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.