Physician Compare National (NPI:1932201878)

HEALTHCARE PROVIDER: KORRIE LYNN LALIM O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932201878
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153223359
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141112000637
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LALIM
	Individual professional last name
Provider First Name	KORRIE
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	OD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2050 W HWY 30A
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG M1 SUITE 119
	Group Practice or individual's line 2 address
City	SANTA ROSA BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	324594359
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y