KIM SON DUONG OD
NPI 1114448651
Optometrist in Houston, TX

Q: What is Kim Duong's NPI number?

The NPI number for Kim Duong is 1114448651. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Kim Duong'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 Kim Duong was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 06, 2017PECOS Enrolled

4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204(713) 743-2020(713) 743-0963 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 10, 2022, Jul 11, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Kim Son Duong Od NPPES

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

KIM SON DUONG OD (NPI 1114448651) is an individual optometrist in Houston, Texas, licensed in Texas (10471) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1114448651

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKIM SON DUONGCredential: OD

Location Address4401 MARTIN LUTHER KING BLVDHouston, TX 77204-2020

Mailing Address4401 Martin Luther King BlvdHouston, TX 77204-2020 · (713) 743-2020 · Fax (713) 743-0963

Phone(713) 743-2020

Fax(713) 743-0963

Sole ProprietorNo

Enumeration DateJuly 6, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1114448651 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 · 10471✔ Licensed in CA · OPT34222✔ Licensed in AL · T-232-TA-A74

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.

4401 MARTIN LUTHER KING BLVD, Houston, TX 77204

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Secondary Practice Location 1

Location 11716 University Blvd # G080ABirmingham, AL 35233-1816 · Phone (205) 975-2020 · Fax (205) 934-6755

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Son Duong 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.

Medicare Billing Reassignments

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

University Of Alabama At Birmingham

527 mi

Family Medicine

1023 MEDICAL CENTER PKWY, SUITE 200
Selma, AL 36701

Reassigned Medicare billing, Alabama enrollment
460 clinicians in this Medicare group

NPI 1144235870 (334) 875-4184

Western University Of Health Sciences

1,349 mi

Optometrist

795 E. SECOND STREET, SUITE 2
Pomona, CA 91766

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

NPI 1245467885 (909) 706-3899

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 77204 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 20

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

JENNYFFER SMITH OD

Optometrist