JENNIFER KIM, OD. A PROFESSIONAL CORPORATION
NPI 1205560034
Optometrist in Claremont, CA

Q: What is Jennifer Kim, Od. A Professional Corporation's specialty?

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

Active since July 16, 2022

2209 E BASELINE RD STE 400, CLAREMONT, CA 91711(909) 765-5303(909) 765-5304 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jennifer Kim, Od. A Professional Corporation NPPES

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

JENNIFER KIM, OD. A PROFESSIONAL CORPORATION (NPI 1205560034), doing business as Luxe Optometry, is a healthcare organization registered as an optometrist in Claremont, California and active in the NPI registry since July 2022. The organization lists Jennifer Kim, Optometrist/ President, as its authorized official.

NPPES Registry Identity

NPI1205560034

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJENNIFER KIM, OD. A PROFESSIONAL CORPORATION

Location Address2209 E BASELINE RD STE 400Claremont, CA 91711-7902

Mailing Address5368 Shemiran StLa Verne, CA 91750-2378 · (310) 367-9484

Phone(909) 765-5303

Fax(909) 765-5304

Organization SubpartNo

Authorized OfficialJennifer KimOptometrist/ President · (310) 367-9484

Enumeration DateJuly 16, 2022

NPPES CertifiedJuly 16, 2022

✔ NPI 1205560034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

2209 E BASELINE RD STE 400, Claremont, CA 91711

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Other Names 1

Doing Business AsLuxe Optometry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kim, Od. A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Kim, Od. A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Kim, O.D.

Optometry

NPI 1295010627

118 CASS AVE
Mount Clemens, MI 48043

(586) 468-7370

✔ PECOS1,967 mi

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

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 Jennifer Kim, Od. A Professional Corporation's NPI number?

The NPI number for Jennifer Kim, Od. A Professional Corporation is 1205560034. It was assigned to this organization in the NPPES registry on July 16, 2022. The provider is doing business as LUXE Optometry.

Where is Jennifer Kim, Od. A Professional Corporation located?

Jennifer Kim, Od. A Professional Corporation is located at 2209 E Baseline Rd Ste 400, Claremont, CA 91711. The listed phone number is (909) 765-5303.

What is Jennifer Kim, Od. A Professional Corporation's specialty?

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

Is Jennifer Kim, Od. A Professional Corporation enrolled in Medicare?

Yes. Jennifer Kim, Od. A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Kim, Od. A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jennifer Kim, Od. A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jennifer Kim, Od. A Professional Corporation 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 list Jennifer Kim, Od. A Professional Corporation 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 Jennifer Kim, Od. A Professional Corporation was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.