Nicole Jae Sim Optometric, Inc
NPI 1932439304 · Optometrist · Berkeley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Jae Sim Optometric, Inc is a Optometrist organization in Berkeley, CA (NPI 1932439304).
Provider details
- NPI number
- 1932439304
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Nicole Jae Sim Optometric, Inc
- Organization subpart
- Yes
- Authorized official
- Nicole Sim, President(510) 548-3947
- License
- 11438TPA (CA)
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
16 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
Other names (DBA / former)
- Doing business as
- Walnut Square Optometry
Registry dates
- Enumerated
- 2010-01-07
- Last updated
- 2010-01-29
Frequently asked questions
- What is Nicole Jae Sim Optometric, Inc's NPI number?
- Nicole Jae Sim Optometric, Inc's National Provider Identifier (NPI) is 1932439304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicole Jae Sim Optometric, Inc?
- Nicole Jae Sim Optometric, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Nicole Jae Sim Optometric, Inc located?
- Nicole Jae Sim Optometric, Inc's practice location on file with NPPES is 2118 Vine St, Berkeley, CA 94709-1524.
- What is Nicole Jae Sim Optometric, Inc's phone number?
- The practice phone number listed in the NPPES registry for Nicole Jae Sim Optometric, Inc is (510) 548-3947.
- Does Nicole Jae Sim Optometric, Inc accept Medicare?
- Nicole Jae Sim Optometric, 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 Nicole Jae Sim Optometric, Inc?
- The authorized official listed on Nicole Jae Sim Optometric, Inc's NPPES record is Nicole Sim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicole Jae Sim Optometric, Inc's NPI active?
- Yes — Nicole Jae Sim Optometric, Inc's NPI (1932439304) is active in the NPPES registry as of the last update on 2010-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.