YUSTINA CHAEYEON KANG OD, MS
NPI 1063254175
Optometrist in North Chesterfield, VA

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
601 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236(804) 858-2020 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Jun 10, 2024 (2 updates tracked since 2024).

About Yustina Chaeyeon Kang Od, Ms NPPES

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

YUSTINA CHAEYEON KANG OD, MS (NPI 1063254175) is an individual optometrist in North Chesterfield, Virginia, licensed in Virginia (0618003417) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2024).

NPPES Registry Identity

NPI1063254175
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameYUSTINA CHAEYEON KANGCredential: OD, MS
Location Address601 N COURTHOUSE RDNorth Chesterfield, VA 23236-4062
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2024
Enumeration DateJune 10, 2024
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1063254175 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 VA · 0618003417
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.

601 N COURTHOUSE RD, North Chesterfield, VA 23236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yustina Chaeyeon Kang Od, Ms 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 ID749711232
PECOS Enrollment IDI20241008003837
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.

Areas of Expertise CMS Part B claims 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
34 services34 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
21 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23236 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 6

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

Optometrist
601 N COURTHOUSE RD
NORTH CHESTERFIELD, VA 23236
Optometrist
601 N COURTHOUSE RD
RICHMOND, VA 23236
Optometrist
601 N COURTHOUSE RD
RICHMOND, VA 23236
Chiropractor
601 N COURTHOUSE RD
RICHMOND, VA 23236
Optometrist
601 N COURTHOUSE RD
RICHMOND, VA 23236
Optometrist
601 N COURTHOUSE RD
NORTH CHESTERFIELD, VA 23236

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 Yustina Kang's NPI number?

The NPI number for Yustina Kang is 1063254175. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Yustina Kang located?

Yustina Kang practices at 601 N Courthouse Rd, North Chesterfield, VA 23236. The listed phone number is (804) 858-2020.

What is Yustina Kang's specialty?

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

Is Yustina Kang enrolled in Medicare?

Yes. Yustina Kang 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.

What insurance does Yustina Kang accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Yustina Kang 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 Yustina Kang was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.