Nicole Jae Sim Optometric, Inc
NPI 1932439304ActiveOrganization· Optometrist· Berkeley, CA
Optometrist in Berkeley, California, registered in NPPES in January 2010, part of Nicole Jae Sim Optometric, Inc. The authorized official on file is Nicole Jae Sim, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932439304 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nicole Jae Sim Optometric, Inc |
| NPI issued | Jan 7, 2010 |
| Last updated in NPPES | Jan 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11438TPA | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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