DR. DERRICK GUY LIM (OD) – Optometrist, NPI 1073504262
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DERRICK GUY LIM (OD)
Lemon Avenue, Walnut, Los Angeles County, California, 91789, United States
WALNUT, CA 917892345
Phone: (909) 869-9448
Fax: (909) 869-9354
Type: Mailing
5657, Atlantic Avenue, North Long Beach, Long Beach, Los Angeles County, California, 90805, United States
LONG BEACH, CA 908054710
Phone: (562) 422-3378
Type: Location
4455 W 117th St Ste 105
Hawthorne, CA 902502240
Phone: (310) 219-2000
Type: Location
5649 ATLANTIC AVE
LONG BEACH, CA 908054710
Phone: (562) 422-3378
Fax: (909) 869-9354
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $25 |
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: 2007-06-13
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 |
|---|---|---|---|---|
| I20070613000224 | 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 91789)
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Reviews
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