South Pasadena Optometric Group, Inc.
NPI 1750416566 · Optometrist · South Pasadena, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Pasadena Optometric Group, Inc. is a Optometrist organization in South Pasadena, CA (NPI 1750416566).
Provider details
- NPI number
- 1750416566
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Annie Lee Kim, Optometrist(626) 441-5300
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2018-12-21
Frequently asked questions
- What is South Pasadena Optometric Group, Inc.'s NPI number?
- South Pasadena Optometric Group, Inc.'s National Provider Identifier (NPI) is 1750416566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Pasadena Optometric Group, Inc.?
- South Pasadena Optometric Group, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is South Pasadena Optometric Group, Inc. located?
- South Pasadena Optometric Group, Inc.'s practice location on file with NPPES is 729 Mission St Ste 200, South Pasadena, CA 91030-3072.
- What is South Pasadena Optometric Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for South Pasadena Optometric Group, Inc. is (626) 441-5300.
- Does South Pasadena Optometric Group, Inc. accept Medicare?
- South Pasadena Optometric Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Pasadena Optometric Group, Inc.?
- The authorized official listed on South Pasadena Optometric Group, Inc.'s NPPES record is Annie Lee Kim, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Pasadena Optometric Group, Inc.'s NPI active?
- Yes — South Pasadena Optometric Group, Inc.'s NPI (1750416566) is active in the NPPES registry as of the last update on 2018-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.