Individual provider

Young Kim

Eyewear Supplier

Young Kim is a provider specialising in Eyewear Supplier in San Diego, CA, registered under NPI 1114802659. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4619 CONVOY ST # A6, San Diego, CA 92111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4619 CONVOY ST # A6, San Diego, CA 92111 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RDO70566 CA Eyewear Supplier primary

This provider holds licence RDO70566 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Eyewear Supplier covers

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NUCC Health Care Provider Taxonomy, code 332H00000X
Suppliers Eyewear Supplier

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114802659 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 6, 2025
Last updatedAug 6, 2025
StatusActive
Sole proprietorYes
Practice address 4619 CONVOY ST # A6
San Diego, CA 92111
(858) 880-8945
This record was updated on Aug 6, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1114802659 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 8 0 2 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 7 0 4 6 1

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114802659?
NPI 1114802659 is the National Provider Identifier assigned to Young Kim in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Eyewear Supplier cover?
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
How do I contact Young Kim?
The phone number on file with NPPES is (858) 880-8945, last updated Aug 6, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114802659 a valid number?
Yes. 1114802659 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.