IndividualActiveAccepts Medicare
Derrick Lim, OD
NPI 1073504262 · Optometrist · Long Beach, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1073504262
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 10509TPL (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5649 Atlantic Ave
Long Beach, CA 90805-4710
Phone: (562) 422-3378
Street-level locationGet directions
Mailing address
5649 Atlantic Ave
Long Beach, CA 90805-4710
Additional practice locations (1)
- 4455 W 117th St Ste 105Hawthorne, CA 90250-2240Phone: (310) 219-2000
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.