JENNIFER J. KIM O.D.
NPI 1295010627
Optometrist in Mount Clemens, MI

Active since October 17, 2011PECOS Enrolled
118 CASS AVE, MOUNT CLEMENS, MI 48043(586) 468-7370 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer J. Kim O.d. NPPES

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

JENNIFER J. KIM O.D. (NPI 1295010627) is an individual optometrist in Mount Clemens, Michigan, licensed in Michigan (4901004914) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295010627
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJENNIFER J. KIMCredential: O.D.
Location Address118 CASS AVEMount Clemens, MI 48043-2204
Mailing Address118 Cass AveMount Clemens, MI 48043-2204 · (586) 468-7370
Sole ProprietorNo
Enumeration DateOctober 17, 2011
Last NPPES UpdateNovember 5, 2015
NPI 1295010627 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 MI · 4901004914 Licensed in CA · 14259
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.

118 CASS AVE, Mount Clemens, MI 48043

Other Names 1

Former Name (1)Jennifer J. Park D.o

Other Identifiers 2

Medicaid1295010627MI
Medicare PINMI1465091MI

Accepted 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)

Jennifer J. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 6

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

Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043
Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043
Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043
Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043
Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043
Optometrist
118 CASS AVE
MOUNT CLEMENS, MI 48043

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1295010627. It was assigned to this individual provider in the NPPES registry on October 17, 2011. The provider is also known as Jennifer J. Park D.O.

Where is Jennifer Kim located?

Jennifer Kim practices at 118 Cass Ave, Mount Clemens, MI 48043. The listed phone number is (586) 468-7370.

What is Jennifer Kim's specialty?

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

Is Jennifer Kim enrolled in Medicare?

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

What insurance does Jennifer Kim accept?

Health plans from 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 Jennifer 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 Jennifer Kim was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.