ALICE HYUN JIN LIM O.D
NPI 1164918033
Optometrist in Philadelphia, PA

Q: What is Alice Lim's NPI number?

The NPI number for Alice Lim is 1164918033. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Alice Lim'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 Alice Lim was last updated on July 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2018PECOS EnrolledAccepts Medicare Assignment

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alice Hyun Jin Lim O.d NPPES

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

ALICE HYUN JIN LIM O.D (NPI 1164918033) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003402) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2018).

NPPES Registry Identity

NPI1164918033

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALICE HYUN JIN LIMCredential: O.D

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329

Phone(215) 276-6000

Fax(215) 276-1329

Sole ProprietorYes

Medical School CMSPennsylvania College Of OptometryGraduated 2018

Enumeration DateJuly 3, 2018

✔ NPI 1164918033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEG003402

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.

1200 W GODFREY AVE, Philadelphia, PA 19141

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Secondary Practice Locations 2

Location 13300 Henry Ave Ste 104Philadelphia, PA 19129-1121 · Phone (215) 276-6000 · Fax (215) 276-1329

Location 27630 Germantown Ave Ste 4Philadelphia, PA 19118-3529 · Phone (215) 276-6000 · Fax (215) 276-1329

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Hyun Jin Lim O.d 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.

PECOS PAC ID6002163482

PECOS Enrollment IDI20180717000016

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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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.

DANIEL HOFFMAN O.D

Optometrist