Kellie-Anne Chiemi Ishii-Kim, OD
NPI 1710465372ActiveIndividual· Optometrist· San Dimas, CA
Optometrist (OD) in San Dimas, California, trained at Southern California College of Optometry (class of 2018). Part D covered 17 prescriptions written in 2024, 82% of them generic.
Overview
| NPI | 1710465372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Aug 4, 2018 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 35068 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (CA); Practitioner - Optometry (HI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 23 30-day fills |
|---|---|
| Total drug cost | $2,160 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | Southern California College of Optometry |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Optometry |
Medical group
- Spectrum Eyecare Optometry IncSan Dimas, CA · 8 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 22 optometrists in San Dimas · All optometrists in California