JUSTIN M KIM O.D.
NPI 1194718114
Optometrist in Apo, AP
About Justin M Kim O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN M KIM O.D. (NPI 1194718114) is an individual optometrist in Apo, AP, licensed in Texas (6310T) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Southern California College Of Optometry (2002).
NPPES Registry Identity
Specialties & Licenses
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
Justin M Kim 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 Reassignment
Medicare enrollment records show Justin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kerrville, TX 78028
- Reassigned Medicare billing, Texas enrollment
- 404 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APO, AP 96271
APO, AP 96271
APO, AP 96271
APO, AP 96271
APO, AP 96271
APO, AP 96271
APO, AP 96271
APO, AP 96271
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 Justin Kim's NPI number?
The NPI number for Justin Kim is 1194718114. It was assigned to this individual provider in the NPPES registry on August 24, 2005.
Where is Justin Kim located?
Justin Kim practices at Brian D. Allgood Army Community Hospital (bdaach) Unit # 15245 ; Bldg 3031, Apo, AP 96271. The listed phone number is (315) 737-1464.
What is Justin Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Justin Kim enrolled in Medicare?
Yes. Justin 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 organization bills Medicare for Justin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Kim reassigns Medicare benefits to Aeg Texas Professional PLLC (Kerrville, TX). 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 Justin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Kim accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Justin 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.
Is Justin Kim affiliated with any hospitals?
According to CMS data, Justin Kim is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Justin Kim was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Justin M Kim, O.D. · NPI 1194718114
Optometrist provider in Apo, AP. Individual provider, active in the CMS NPPES registry since August 24, 2005.
## Identity
- **NPI:** 1194718114 (Entity type: Individual)
- **Enumerated:** August 24, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 6310T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT # 15245 ; BLDG 3031, Apo, AP 96271
- **Phone:** (315) 737-1464
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Aeg Texas Professional PLLC (NPI 1457905937, Kerrville, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2002
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194718114) · Data from the CMS NPPES public registry.