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

Kellie-Anne Chiemi Ishii-Kim, OD

Individual provider Optometrist · NPI 1710465372

Kellie-Anne Chiemi Ishii-Kim, OD is an Optometry in San Dimas, California. Graduated from Southern California College of Optometry in 2018, 8 years ago. Practices with Spectrum Eyecare Optometry Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

425 W Bonita Ave Ste 110B
San Dimas, CA 91773-2543
Phone: (909) 394-0462
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35068 (CA)

Record details

NPI number1710465372
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 4, 2018
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Spectrum Eyecare Optometry Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Dimas