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YOUNG SUN KIM O.D.
NPI 1184616567
Optometrist in Los Angeles, CA

Active since August 22, 2005PECOS Enrolled
3183 WILSHIRE BLVD STE 115, LOS ANGELES, CA 90010(213) 738-0007(213) 738-0033 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Young Sun Kim O.d. NPPES

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

YOUNG SUN KIM O.D. (NPI 1184616567) is an individual optometrist in Los Angeles, California, licensed in California (10134T) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184616567
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameYOUNG SUN KIMCredential: O.D.
Location Address3183 WILSHIRE BLVD STE 115Los Angeles, CA 90010-1279
Mailing Address3183 Wilshire Blvd Ste 115Los Angeles, CA 90010-1279 · (213) 738-0007 · Fax (213) 738-0033
Phone(213) 738-0007
Fax(213) 738-0033
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 9, 2018
✔ NPI 1184616567 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 CA · 10134T
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.
3183 WILSHIRE BLVD STE 115, Los Angeles, CA 90010
Open in Google Maps ↗

Other Identifiers 1

MedicaidSD0101340CA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Young Sun Kim O.d. 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 Reassignment

Medicare enrollment records show Young Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Young S. Kim Optometric Center Inc.
Same address
Optometrist
3183 WILSHIRE BLVD, #115
Los Angeles, CA 90010
  • Reassigned Medicare billing, California enrollment
NPI 1952732679 (213) 738-0007

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 90010 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Young Kim's NPI number?

The NPI number for Young Kim is 1184616567. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Young Kim located?

Young Kim practices at 3183 Wilshire Blvd Ste 115, Los Angeles, CA 90010. The listed phone number is (213) 738-0007.

What is Young Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Young Kim enrolled in Medicare?

Yes. Young Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Young Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Young Kim reassigns Medicare benefits to Young S. Kim Optometric Center Inc. (Los Angeles, CA). 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 Young Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Young 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 Young 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 Young Kim was last updated on May 9, 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.