Azusa Optometry Group, Inc.
NPI 1073544896ActiveOrganization· Optometrist· Hacienda Heights, CA
Optometrist in Hacienda Heights, California, registered in NPPES in July 2006. The authorized official on file is Martin Sung Kim, O.D., President.
Overview
| NPI | 1073544896 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11162-T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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