JEONG SU KIM OD
NPI 1245009141
Optometrist in Los Angeles, CA

Q: What is Jeong Su Kim's NPI number?

The NPI number for Jeong Su Kim is 1245009141. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Q: What is Jeong Su Kim'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 Jeong Su Kim was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since December 20, 2023PECOS Enrolled

3727 W 6TH ST STE 210, LOS ANGELES, CA 90020(213) 235-2500 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeong Su Kim Od NPPES

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

JEONG SU KIM OD (NPI 1245009141) is an individual optometrist in Los Angeles, California, licensed in California (35621) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245009141

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJEONG SU KIMCredential: OD

Location Address3727 W 6TH ST STE 210Los Angeles, CA 90020-5108

Mailing Address680 S Berendo St Apt 416Los Angeles, CA 90005-1795 · (425) 466-3251

Phone(213) 235-2500

Sole ProprietorNo

Enumeration DateDecember 20, 2023

Last NPPES UpdateJanuary 6, 2025

NPPES CertifiedJanuary 6, 2025

✔ NPI 1245009141 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 · 35621

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.

3727 W 6TH ST STE 210, Los Angeles, CA 90020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeong Su Kim Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90020 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUJEONG GO N.P.

Nurse Practitioner (Primary Care)

3727 W 6TH ST STE 210
LOS ANGELES, CA 90020

Los Angeles County (213) 427-4000

SHIA WATKINS

Nurse Practitioner (Family)

3727 W 6TH ST STE 210, SUITE 210
LOS ANGELES, CA 90020

Los Angeles County (213) 427-4000

ANGELA KIM

Physician Assistant (Medical)

3727 W 6TH ST STE 210
LOS ANGELES, CA 90020

Los Angeles County (213) 235-2500

SOOJUNG CHOI FNP

Nurse Practitioner (Family)

3727 W 6TH ST STE 210
LOS ANGELES, CA 90020

Los Angeles County (213) 235-2500

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 Jeong Su Kim's NPI number?

The NPI number for Jeong Su Kim is 1245009141. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Jeong Su Kim located?

Jeong Su Kim practices at 3727 W 6th St Ste 210, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.

What is Jeong Su Kim's specialty?

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

Is Jeong Su Kim enrolled in Medicare?

Yes. Jeong Su Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jeong Su Kim accept?

Health plans from Providence Health Plan list Jeong Su 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 Jeong Su Kim was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.