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DR. MICHAEL JOSHUA LIM OD
NPI 1619464799
Optometrist in Rancho Cucamonga, CA

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment
8112 MILLIKEN AVE STE 203, RANCHO CUCAMONGA, CA 91730(909) 945-3563(909) 945-9450 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Aug 16, 2019, Apr 15, 2018 (3 updates tracked since 2018).

About Dr. Michael Joshua Lim Od NPPES

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

DR. MICHAEL JOSHUA LIM OD (NPI 1619464799) is an individual optometrist in Rancho Cucamonga, California, licensed in California (OPT34161-TLG) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2018).

NPPES Registry Identity

NPI1619464799
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL JOSHUA LIMCredential: OD
Location Address8112 MILLIKEN AVE STE 203Rancho Cucamonga, CA 91730-7473
Mailing Address555 N 13th AveUpland, CA 91786-4904 · (909) 982-8846 · Fax (909) 206-1097
Phone(909) 945-3563
Fax(909) 945-9450
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2018
Enumeration DateApril 15, 2018
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
✔ NPI 1619464799 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 · OPT34161-TLG
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.
8112 MILLIKEN AVE STE 203, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Joshua Lim Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466782958
PECOS Enrollment IDI20190926000288
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 Michael Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.9 mi
Health Maintenance Organization
15272 SUMMIT AVE
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316463763 (877) 608-0044

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 91730 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Michael Lim's NPI number?

The NPI number for Michael Lim is 1619464799. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Michael Lim located?

Michael Lim practices at 8112 Milliken Ave Ste 203, Rancho Cucamonga, CA 91730. The listed phone number is (909) 945-3563.

What is Michael Lim's specialty?

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

Is Michael Lim enrolled in Medicare?

Yes. Michael Lim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lim reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Michael Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Lim was last updated on November 29, 2021. 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.