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DR. DOUGLAS KIM O.D.
NPI 1265510739
Optometrist in Colorado Springs, CO

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
1130 LAKE PLAZA DR, SUITE 230, COLORADO SPRINGS, CO 80906(719) 219-3819(719) 219-0411 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Kim O.d. NPPES

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

DR. DOUGLAS KIM O.D. (NPI 1265510739) is an individual optometrist in Colorado Springs, Colorado, licensed in Colorado (2784) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2003).

NPPES Registry Identity

NPI1265510739
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DOUGLAS KIMCredential: O.D.
Location Address1130 LAKE PLAZA DR, SUITE 230Colorado Springs, CO 80906-3594
Mailing Address1130 Lake Plaza Dr, Suite 230Colorado Springs, CO 80906-3594 · (719) 219-3819 · Fax (719) 219-0411
Phone(719) 219-3819
Fax(719) 219-0411
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2003
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 17, 2013
✔ NPI 1265510739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CO · 2784✔ Licensed in CA · CA12426T
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.
1130 LAKE PLAZA DR, Colorado Springs, CO 80906
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Other Identifiers 2

Medicaid79138276CO
Medicare PINCOA103662CO

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

Dr. Douglas 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.

PECOS PAC ID7113063231
PECOS Enrollment IDI20110124000615
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 80906 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 13

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

MARIA T BISE O.D.
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
DAVID ROBBINS O.D.
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
DR. JOSEPH ALEXANDER GOWEN O.D.
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
DR. KERRY ANN GARWOOD O.D.
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
DR. TIM M BURROWS OD
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
MARC J OFCHINICK
Optometrist
1130 LAKE PLAZA DR, SUITE 230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
DR. MARK PHILLIP VANDER HORCK O.D.
Optometrist
1130 LAKE PLAZA DR, SUITE #230
COLORADO SPRINGS, CO 80906
El Paso County (719) 219-3819
ABBA EYE CARE PC
Optometrist
1130 LAKE PLAZA DR, SUITE #130
COLORADO SPRINGS, CO 80906
El Paso County (719) 578-2020

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 Douglas Kim's NPI number?

The NPI number for Douglas Kim is 1265510739. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Douglas Kim located?

Douglas Kim practices at 1130 Lake Plaza Dr Suite 230, Colorado Springs, CO 80906. The listed phone number is (719) 219-3819.

What is Douglas Kim's specialty?

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

Is Douglas Kim enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Kim accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Douglas 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 Douglas Kim was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.