DR. MI-JIN LIM (O.D.) – Optometrist, NPI 1164589404
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
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Provider Addresses for DR. MI-JIN LIM (O.D.)
Wells Fargo, 638, Camino de Los Mares, San Clemente, Orange County, California, 92624, United States
A120
SAN CLEMENTE, CA 926732848
Phone: (949) 493-2269
Fax: (949) 493-2448
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $499.
Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($220).
Total Amount
$499
General + Research + Ownership
Payments
10
Total payment records
General Amount
$499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080611000843 | I | Optometry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92673)
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