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DR. TAE WON KIM O.D.
NPI 1073946406
Optometrist in Killeen, TX

Active since August 21, 2013PECOS Enrolled
2100 S W S YOUNG DR STE 1000, KILLEEN, TX 76543(254) 261-7449(254) 261-7450 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2023, Mar 22, 2023 (2 updates tracked since 2023).

About Dr. Tae Won Kim O.d. NPPES

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

DR. TAE WON KIM O.D. (NPI 1073946406) is an individual optometrist in Killeen, Texas, licensed in Texas (9128) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Harker Heights.

NPPES Registry Identity

NPI1073946406
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TAE WON KIMCredential: O.D.
Location Address2100 S W S YOUNG DR STE 1000Killeen, TX 76543-5355
Mailing Address2100 S W S Young Dr Ste AKilleen, TX 76543-5352 · (254) 953-1164
Phone(254) 261-7449
Fax(254) 261-7450
Sole ProprietorNo
Enumeration DateAugust 21, 2013
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1073946406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 9128✔ Licensed in FL · OPC4831
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.
2100 S W S YOUNG DR STE 1000, Killeen, TX 76543
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Secondary Practice Location 1

Location 1201 E Central Texas Expy Ste 300Harker Heights, TX 76548-2747 · Phone (254) 669-6316

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tae Won Kim O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76543 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

KILLEEN VISION 153
Optometrist (Corneal and Contact Management)
2100 S W S YOUNG DR STE 1000
KILLEEN, TX 76543
Bell County (254) 261-7449

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 Tae Won Kim's NPI number?

The NPI number for Tae Won Kim is 1073946406. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Tae Won Kim located?

Tae Won Kim practices at 2100 S W S Young Dr Ste 1000, Killeen, TX 76543. The listed phone number is (254) 261-7449.

What is Tae Won Kim's specialty?

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

Is Tae Won Kim enrolled in Medicare?

Yes. Tae Won Kim is registered in the Medicare PECOS enrollment system.

What insurance does Tae Won Kim 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 Tae Won 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 Tae Won Kim was last updated on May 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.