ALICE HYUN JIN LIM O.D
NPI 1164918033
Optometrist in Philadelphia, PA
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
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Alice Lim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 335 clinicians in this Medicare group
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Salus University
- 63 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 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.
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.
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.
PHILADELPHIA, PA 19141
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 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.
Where is Alice Lim located?
Alice Lim practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.
What is Alice Lim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alice Lim enrolled in Medicare?
Yes. Alice Lim 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 Alice Lim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice Lim reassigns Medicare benefits to 2 organizations: Drexel University (Philadelphia, PA) and Drexel University (Philadelphia, PA). 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 Alice Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alice Lim 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 11 other insurers list Alice Lim 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 Alice Lim was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Alice Hyun Jin Lim, O.D · NPI 1164918033
Optometrist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2018.
## Identity
- **NPI:** 1164918033 (Entity type: Individual)
- **Enumerated:** July 3, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003402 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 W GODFREY AVE, Philadelphia, PA 19141-3323
- **Phone:** (215) 276-6000 · **Fax:** (215) 276-1329
## 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): Drexel University (NPI 1336160027, Philadelphia, PA); Drexel University (NPI 1336160027, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2018
## Record status
- **NPPES last updated:** July 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1164918033) · Data from the CMS NPPES public registry.