Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KELLY MUI O.D.
NPI 1063401719
Optometrist in Los Angeles, CA

Active since October 17, 2005
11777 SAN VICENTE BLVD, SUITE 130, LOS ANGELES, CA 90049(310) 820-2020 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Mui O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY MUI O.D. (NPI 1063401719) is an individual optometrist in Los Angeles, California, licensed in California (12896) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1063401719
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY MUICredential: O.D.
Location Address11777 SAN VICENTE BLVD, SUITE 130Los Angeles, CA 90049-5011
Mailing Address3435 Ocean Park Blvd, Suite 107 Pmb 88Santa Monica, CA 90405-3301 · (510) 220-1779
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1063401719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 12896
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11777 SAN VICENTE BLVD, Los Angeles, CA 90049

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
11777 SAN VICENTE BLVD, SUITE 703
LOS ANGELES, CA 90049
Psychiatry & Neurology (Psychiatry)
11777 SAN VICENTE BLVD, #703
LOS ANGELES, CA 90049
Specialist
11777 SAN VICENTE BLVD, SUITE 703
LOS ANGELES, CA 90049
Psychiatry & Neurology (Psychiatry)
11777 SAN VICENTE BLVD, #703
LOS ANGELES, CA 90049
Optometrist
11777 SAN VICENTE BLVD, #130
LOS ANGELES, CA 90049
Psychologist (Clinical)
11777 SAN VICENTE BLVD, SUITE 703
LOS ANGELES, CA 90049
Psychiatry & Neurology (Psychiatry)
11777 SAN VICENTE BLVD, #703
LOS ANGELES, CA 90049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mui's NPI number?

The NPI number for Kelly Mui is 1063401719. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Kelly Mui located?

Kelly Mui practices at 11777 San Vicente Blvd Suite 130, Los Angeles, CA 90049. The listed phone number is (310) 820-2020.

What is Kelly Mui's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mui was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.