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

Individual provider Optometrist · NPI 1104132786

Dr. Fanette Kim, OD is an Optometrist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11921 N Dale Mabry Hwy
Tampa, FL 33609
Phone: (813) 963-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC4519 (FL)

Record details

NPI number1104132786
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 20, 2010
Last updated in NPPESNovember 25, 2015

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