What is Fanette Kim's NPI number?

Fanette Kim's National Provider Identifier (NPI) is 1104132786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Fanette Kim's specialty?

Fanette Kim is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Fanette Kim located?

Fanette Kim's practice location on file with NPPES is 11921 N Dale Mabry Hwy, Tampa, FL 33609.

What is Fanette Kim's phone number?

The practice phone number listed in the NPPES registry for Fanette Kim is (813) 963-1008.

Does Fanette Kim accept Medicare?

Fanette Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Fanette Kim's NPI active?

Yes — Fanette Kim's NPI (1104132786) is active in the NPPES registry as of the last update on 2015-11-25.

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Fanette Kim, O.D.

NPI 1104132786 · Optometrist · Tampa, FL

Fanette Kim, O.D. is a Optometrist provider in Tampa, FL (NPI 1104132786).

Provider details

NPI number: 1104132786
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Female
Sole proprietor: Yes
License: OPC4519 (FL)

Practice location

11921 N Dale Mabry Hwy

Tampa, FL 33609

Phone: (813) 963-1008

Street-level locationGet directions

More FL providers

Mailing address

11921 N Dale Mabry Hwy

Tampa, FL 33609

Specialties & taxonomies

OptometristPrimary152W00000XLicense OPC4519 (FL)
Eye and Vision Services Providers

Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
16 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
1 documented practice location
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

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.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$57 across 2 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2010-08-20
Last updated: 2015-11-25

Frequently asked questions

What is Fanette Kim's NPI number?: Fanette Kim's National Provider Identifier (NPI) is 1104132786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Fanette Kim's specialty?: Fanette Kim is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
Where is Fanette Kim located?: Fanette Kim's practice location on file with NPPES is 11921 N Dale Mabry Hwy, Tampa, FL 33609.
What is Fanette Kim's phone number?: The practice phone number listed in the NPPES registry for Fanette Kim is (813) 963-1008.
Does Fanette Kim accept Medicare?: Fanette Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Fanette Kim's NPI active?: Yes — Fanette Kim's NPI (1104132786) is active in the NPPES registry as of the last update on 2015-11-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Transparency — industry payments

Frequently asked questions