GLORIA KIM OD - NPI 1104101492 - Optometrist in Edgewater, NJ

Q: What is Gloria Kim's NPI number?

The NPI number for Gloria Kim is 1104101492. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Q: What is Gloria Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gloria Kim was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Gloria Kim Od NPPES

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

GLORIA KIM OD (NPI 1104101492) is an individual optometrist in Edgewater, New Jersey, licensed in New Jersey (270OA00635500) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104101492

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameGLORIA KIMCredential: OD

Location Address543 RIVER RDEdgewater, NJ 07020-1146

Mailing Address543 River RdEdgewater, NJ 07020-1146 · (201) 654-9127

Phone(201) 654-9127

Sole ProprietorNo

Enumeration DateOctober 18, 2011

Last NPPES UpdateFebruary 18, 2026

NPPES CertifiedFebruary 18, 2026

✔ NPI 1104101492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NJ · 270OA00635500

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 27OA00635500 (NJ)

543 RIVER RD, Edgewater, NJ 07020

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria Kim Od 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 07020 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.