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Blue Sky Optometry

Blue Sky Optometry is a healthcare organization registered as Optometrist in San Gabriel, CA, holding Type 2 (organization) NPI 1619182839 since 2007. The authorized official on file is Jane Kim, Owner.

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NPI 1619182839
Entity type Organization (Type 2)
Legal business name Blue Sky Optometry
Practice address 720 E. VALLEY BLVD., San Gabriel, CA, 91776
Phone 6262888097
Fax 6262888360
Enumeration date 2007-05-11
Last updated in NPPES 2020-08-22

Authorized official

Name Jane Kim
Title Owner
Phone 6262888097

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 13140T CA

Other identifiers

Identifier Type State Issuer
SD0131400 Medicaid CA
Copy-ready billing details
Provider: Blue Sky Optometry
NPI: 1619182839
Taxonomy: 152W00000X (Optometrist)
Address: 720 E. VALLEY BLVD., San Gabriel, CA, 91776

Providers at this address

NPI Name Type Specialty Location
1194818518 James Chung Individual Optometrist San Gabriel, CA
1225168719 Vision San Gabriel Optometry, Inc. Organization Optometrist San Gabriel, CA

Verify this record

Cross-check NPI 1619182839 against the authoritative CMS record: view Blue Sky Optometry on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Blue Sky Optometry located?
The practice location on file with NPPES is in San Gabriel, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.