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

Dr. Nicole Jae Sim, OD

Individual provider Optometrist · NPI 1861577744

Dr. Nicole Jae Sim, OD is an Optometry in Berkeley, California. Qualified in 2000, 26 years ago. Practices with Berkeley California Optometric, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

2118 Vine St Ste E
Berkeley, CA 94709-1524
Phone: (510) 548-3947
Fax: (510) 548-3501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11438TPA (CA)

Record details

NPI number1861577744
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJanuary 29, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Berkeley California Optometric, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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