Individual provider · Type 1 NPI

Kelly Mui, OD

Optometrist · Los Angeles, CA

NPI number 1063401719 Active

Practice location

11777 San Vicente Blvd, Suite 130
Los Angeles, CA 90049-5011

Mailing address

3435 Ocean Park Blvd, Suite 107 Pmb 88
Santa Monica, CA 90405-3301

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X12896 (CA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1063401719

Kelly Mui, OD's National Provider Identifier is 1063401719, issued on Oct 17, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.