BOMEE KIM OD
NPI 1114467172
Optometrist in Flowood, MS
About Bomee Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOMEE KIM OD (NPI 1114467172) is an individual optometrist in Flowood, Mississippi, licensed in Pennsylvania (OEG003249) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bensalem, and is a graduate of Pennsylvania College Of Optometry (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 and accepts Medicare assignment
Bomee 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 Reassignments
2Medicare enrollment records show Bomee Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, MS 39110
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
Clinton, MS 39056
- Reassigned Medicare billing, Mississippi enrollment
- 3 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLOWOOD, MS 39232
FLOWOOD, MS 39232
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 Bomee Kim's NPI number?
The NPI number for Bomee Kim is 1114467172. It was assigned to this individual provider in the NPPES registry on February 24, 2017.
Where is Bomee Kim located?
Bomee Kim practices at 1053 River Oaks Dr, Flowood, MS 39232. The listed phone number is (601) 969-1430.
What is Bomee Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Bomee Kim enrolled in Medicare?
Yes. Bomee 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 organizations bill Medicare for Bomee Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bomee Kim reassigns Medicare benefits to 2 organizations: Feltz Vision Center Ms LLC (Madison, MS) and Tonya Cannon Stewart, Od, PLLC (Clinton, MS). Each 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 Bomee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bomee Kim 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 Bomee 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 Bomee Kim was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bomee Kim, OD · NPI 1114467172
Optometrist provider in Flowood, Mississippi. Individual provider, active in the CMS NPPES registry since February 24, 2017.
## Identity
- **NPI:** 1114467172 (Entity type: Individual)
- **Enumerated:** February 24, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003249 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1053 RIVER OAKS DR, Flowood, MS 39232-9595
- **Phone:** (601) 969-1430 · **Fax:** (601) 709-2117
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Feltz Vision Center Ms LLC (NPI 1932682515, Madison, MS); Tonya Cannon Stewart, Od, PLLC (NPI 1093955262, Clinton, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2016
## Record status
- **NPPES last updated:** November 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114467172) · Data from the CMS NPPES public registry.