GLORIA KIM OD
NPI 1104101492
Optometrist in Edgewater, NJ
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 and is a graduate of Southern College Of Optometry (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Gloria Kim Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Gloria Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edgewater, NJ 07020
- Reassigned Medicare billing, New Jersey enrollment
- 2 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 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.
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.
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 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.
Where is Gloria Kim located?
Gloria Kim practices at 543 River Rd, Edgewater, NJ 07020. The listed phone number is (201) 654-9127.
What is Gloria Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gloria Kim enrolled in Medicare?
Yes. Gloria Kim 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.
Which organization bills Medicare for Gloria Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Kim reassigns Medicare benefits to Belight Eyecare LLC (Edgewater, NJ). 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 Gloria Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gloria Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 2 other insurers list Gloria 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 Gloria Kim was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Gloria Kim, OD · NPI 1104101492
Optometrist provider in Edgewater, New Jersey. Individual provider, active in the CMS NPPES registry since October 18, 2011.
## Identity
- **NPI:** 1104101492 (Entity type: Individual)
- **Enumerated:** October 18, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 270OA00635500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 543 RIVER RD, Edgewater, NJ 07020-1146
- **Phone:** (201) 654-9127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Belight Eyecare LLC (NPI 1114616919, Edgewater, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2011
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104101492) · Data from the CMS NPPES public registry.