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WON KY KIM
NPI 1346802477
Optometrist in Redmond, WA

Active since June 28, 2019Opted out of Medicare · through Jan 28, 2027
17700 NE 76TH ST, REDMOND, WA 98052(206) 498-8568 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Won Ky Kim NPPES

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

WON KY KIM (NPI 1346802477) is an individual optometrist in Redmond, Washington, licensed in Washington (OD60971324) and active in the NPI registry since June 2019. He has opted out of Medicare through January 28, 2027.

NPPES Registry Identity

NPI1346802477
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWON KY KIM
Location Address17700 NE 76TH STRedmond, WA 98052-3300
Mailing Address7977 170th Ave Ne Apt B428Redmond, WA 98052-4079
Phone(206) 498-8568
Sole ProprietorYes
Enumeration DateJune 28, 2019
✔ NPI 1346802477 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 WA · OD60971324
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.
17700 NE 76TH ST, Redmond, WA 98052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Won Ky Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2021 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2021
Opt-Out In Effect ThroughJanuary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98052 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 7

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

WASHINGTON CVS PHARMACY LLC
Pharmacy
17700 NE 76TH ST
REDMOND, WA 98052
King County (425) 202-1000
VICTORIA OLAGUNJU
Pharmacist
17700 NE 76TH ST, T0995
REDMOND, WA 98052
King County (425) 202-1000
MS. PADMA NUTHAKKI
Pharmacist
17700 NE 76TH ST
REDMOND, WA 98052
King County (425) 202-1000
TAMMY A LORD RN
Registered Nurse (Critical Care Medicine)
17700 NE 76TH ST
REDMOND, WA 98052
King County (425) 202-1000
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
17700 NE 76TH ST
REDMOND, WA 98052
King County (425) 885-6060
RAQUEL MARIE ROST PHARMD
Pharmacist
17700 NE 76TH ST, T-0995
REDMOND, WA 98052
King County (425) 556-9533
MICHELLE CHO
Pharmacist
17700 NE 76TH ST
REDMOND, WA 98052
King County (425) 202-1000

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 Won Ky Kim's NPI number?

The NPI number for Won Ky Kim is 1346802477. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Won Ky Kim located?

Won Ky Kim practices at 17700 NE 76th St, Redmond, WA 98052. The listed phone number is (206) 498-8568.

What is Won Ky Kim's specialty?

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

Is Won Ky Kim enrolled in Medicare?

No. Won Ky Kim has opted out of Medicare through January 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Won Ky Kim was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.