Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanette P. Kim OD PLLC

Organization Optometrist · NPI 1154286490

Fanette P. Kim OD PLLC is an Optometrist in Tampa, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3604 Madaca Ln
Tampa, FL 33618-2057
Phone: (850) 445-8171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1154286490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fanette Kim — Owner · (850) 445-8171
Other names Legacy Vision Care
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address705 S Lois Ave, Tampa, FL 33609-4320

Other providers in Tampa