DR. MI-JIN LIM O.D.
NPI 1164589404
Optometrist in San Clemente, CA

Q: What is Mi-jin Lim's NPI number?

The NPI number for Mi-jin Lim is 1164589404. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Dr. Jean M Lim O.D..

Q: What is Mi-jin Lim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mi-jin Lim was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2007PECOS Enrolled

638 CAMINO DE LOS MARES, A120, SAN CLEMENTE, CA 92673(949) 493-2269(949) 493-2448 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Mi-jin Lim O.d. NPPES

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

DR. MI-JIN LIM O.D. (NPI 1164589404) is an individual optometrist in San Clemente, California, licensed in California (10904T) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1997).

NPPES Registry Identity

NPI1164589404

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. MI-JIN LIMCredential: O.D.

Location Address638 CAMINO DE LOS MARES, A120San Clemente, CA 92673-2848

Mailing Address638 Camino De Los Mares, A120San Clemente, CA 92673-2848 · (949) 493-2269 · Fax (949) 493-2448

Phone(949) 493-2269

Fax(949) 493-2448

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 1997

Enumeration DateJanuary 3, 2007

Last NPPES UpdateMarch 10, 2014

✔ NPI 1164589404 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 · 10904T

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.

638 CAMINO DE LOS MARES, San Clemente, CA 92673

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Other Names 1

Professional Name (2)Dr. Jean M Lim O.d.

Other Identifiers 1

Medicaid7678936CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mi-jin Lim O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002987583

PECOS Enrollment IDI20080611000843

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mi-jin Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jean M Lim Optometry, Inc

Same address

Optometrist

638 CAMINO DE LOS MARES, A120
San Clemente, CA 92673

Reassigned Medicare billing, California enrollment

NPI 1306071055 (949) 493-2269

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

KATARZYNA ANNA HUDSON NP

Nurse Practitioner (Family)

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (714) 348-6790

MRS. VICTORIA LYNN WHALEN APRN, NP-C

Nurse Practitioner (Family)

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (866) 389-2727

SONIA GORDON LUCKEY DNP, APRN

Nurse Practitioner (Psychiatric/Mental Health)

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (949) 494-8426

VICTORIA DEANGELO

Pharmacist

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (949) 487-9791

HOME SLEEP PARTNERS

Clinical Medical Laboratory

638 CAMINO DE LOS MARES, SUITE H130-600
SAN CLEMENTE, CA 92673

Orange County (949) 257-7151

SAMEY ABDULRUB PHARMD

Pharmacist

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (949) 487-9791

JEAN M LIM OPTOMETRY, INC

Optometrist

638 CAMINO DE LOS MARES, A120
SAN CLEMENTE, CA 92673

Orange County (949) 493-2269

LILLIAN HAN

Pharmacist

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673

Orange County (949) 487-9791

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 Mi-jin Lim's NPI number?

The NPI number for Mi-jin Lim is 1164589404. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Dr. Jean M Lim O.D..

Where is Mi-jin Lim located?

Mi-jin Lim practices at 638 Camino De Los Mares A120, San Clemente, CA 92673. The listed phone number is (949) 493-2269.

What is Mi-jin Lim's specialty?

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

Is Mi-jin Lim enrolled in Medicare?

Yes. Mi-jin Lim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mi-jin Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi-jin Lim reassigns Medicare benefits to Jean M Lim Optometry, Inc (San Clemente, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mi-jin Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mi-jin Lim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Mi-jin Lim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mi-jin Lim was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.