AGNES (YANG EUN) PYONG KIM O.D.
NPI 1063537397
Optometrist in Martinez, CA

Q: What is Agnes (yang Eun) Kim's NPI number?

The NPI number for Agnes (yang Eun) Kim is 1063537397. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Yang Eun Pyong Kim O.D..

Q: What is Agnes (yang Eun) Kim's specialty?

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

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

1021 ARNOLD DR, LOCATED INSIDE WAL-MART, MARTINEZ, CA 94553(925) 957-9378(925) 957-9417 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Agnes (yang Eun) Pyong Kim O.d. NPPES

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

AGNES (YANG EUN) PYONG KIM O.D. (NPI 1063537397) is an individual optometrist in Martinez, California, licensed in California (12313T) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2003).

NPPES Registry Identity

NPI1063537397

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameAGNES (YANG EUN) PYONG KIMCredential: O.D.

Location Address1021 ARNOLD DR, LOCATED INSIDE WAL-MARTMartinez, CA 94553-4103

Mailing Address6084 Ralston AveRichmond, CA 94805-1202 · (510) 215-2329

Phone(925) 957-9378

Fax(925) 957-9417

Sole ProprietorYes

Medical School CMSUniversity Of California - School Of OptometryGraduated 2003

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063537397 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 CA · 12313T

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.

1021 ARNOLD DR, Martinez, CA 94553

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Other Names 1

Other Name (5)Yang Eun Pyong Kim O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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

Agnes (yang Eun) Pyong Kim O.d. 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 ID9032258272

PECOS Enrollment IDI20091202000167

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

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

Krok And Shen Optometrists Inc

71 mi

Optometrist

1101 PACIFIC AVE, SUITE E
Santa Cruz, CA 95060

Reassigned Medicare billing, California enrollment
9 clinicians in this Medicare group

NPI 1891999660 (831) 466-3937

North Coast Vision

72 mi

Optometrist

804 41ST AVE
Santa Cruz, CA 95062

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1619158755 (831) 462-5945

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 2

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.

54 services54 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.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 9

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

GRACE ELIZABETH COLLINSON

Pharmacist