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HEEYOON KIM OD
NPI 1053887042
Optometrist in Morton Grove, IL

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
5630 DEMPSTER ST, MORTON GROVE, IL 60053(847) 581-1891 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heeyoon Kim Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEEYOON KIM OD (NPI 1053887042) is an individual optometrist in Morton Grove, Illinois, licensed in Illinois (046011257) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2018).

NPPES Registry Identity

NPI1053887042
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEEYOON KIMCredential: OD
Location Address5630 DEMPSTER STMorton Grove, IL 60053-3110
Mailing Address611 Prestwick LnWheeling, IL 60090-6233 · (224) 392-0855
Phone(847) 581-1891
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2018
Enumeration DateOctober 17, 2018
✔ NPI 1053887042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046011257
Definition
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5630 DEMPSTER ST, Morton Grove, IL 60053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heeyoon Kim Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860731312
PECOS Enrollment IDI20190228001676
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Heeyoon Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

H. Kim, Od & Associates, PLLC
2.2 mi
Optometrist
4349 HOWARD ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1548935752 (847) 677-8022
Village Eye Care Ltd
14 mi
Optometrist
1243 S WABASH AVE, UNIT 101
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1477601664 (312) 663-4250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services70 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
23 services21 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINE EYE CARE INC.
Optometrist
5630 DEMPSTER ST
MORTON GROVE, IL 60053
Cook County (847) 581-1891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heeyoon Kim's NPI number?

The NPI number for Heeyoon Kim is 1053887042. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Heeyoon Kim located?

Heeyoon Kim practices at 5630 Dempster St, Morton Grove, IL 60053. The listed phone number is (847) 581-1891.

What is Heeyoon Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Heeyoon Kim enrolled in Medicare?

Yes. Heeyoon Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heeyoon Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heeyoon Kim reassigns Medicare benefits to 2 organizations: H. Kim, Od & Associates, PLLC (Skokie, IL) and Village Eye Care Ltd (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heeyoon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heeyoon Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Heeyoon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heeyoon Kim was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.