DR. SEUL KI LIM O.D.
NPI 1093021321
Optometrist in Woodside, NY
About Dr. Seul Ki Lim O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEUL KI LIM O.D. (NPI 1093021321) is an individual optometrist in Woodside, New York, licensed in New York (007552) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Seul Ki Lim O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Seul Ki Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodside, NY 11377
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODSIDE, NY 11377
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 Seul Ki Lim's NPI number?
The NPI number for Seul Ki Lim is 1093021321. It was assigned to this individual provider in the NPPES registry on August 24, 2010.
Where is Seul Ki Lim located?
Seul Ki Lim practices at 6909 Roosevelt Ave, Woodside, NY 11377. The listed phone number is (718) 639-1392.
What is Seul Ki Lim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Seul Ki Lim enrolled in Medicare?
Yes. Seul Ki Lim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Seul Ki Lim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seul Ki Lim reassigns Medicare benefits to Eyellusion Vision Center Incorporated (Woodside, NY). The 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 Seul Ki Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seul Ki Lim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Seul Ki Lim 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 Seul Ki Lim was last updated on August 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Seul Ki Lim, O.D. · NPI 1093021321
Optometrist provider in Woodside, New York. Individual provider, active in the CMS NPPES registry since August 24, 2010.
## Identity
- **NPI:** 1093021321 (Entity type: Individual)
- **Enumerated:** August 24, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 007552 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6909 ROOSEVELT AVE, Woodside, NY 11377-2933
- **Phone:** (718) 639-1392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eyellusion Vision Center Incorporated (NPI 1245261593, Woodside, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2010
## Record status
- **NPPES last updated:** August 16, 2014
- **Other identifiers:** Medicaid 03289416 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093021321) · Data from the CMS NPPES public registry.