CRYSTAL KIM
NPI 1356861645
Optometrist in Torrance, CA
About Crystal Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL KIM (NPI 1356861645) is an individual optometrist in Torrance, California, licensed in California (33716) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Palos Verdes, and is a graduate of Southern College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Crystal Kim 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 Crystal Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Pedro, CA 90731
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Kenneth J Miller MD A Medical Corp
- 6 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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Crystal Kim's NPI number?
The NPI number for Crystal Kim is 1356861645. It was assigned to this individual provider in the NPPES registry on June 27, 2017.
Where is Crystal Kim located?
Crystal Kim practices at 21600 Hawthorne Blvd, Torrance, CA 90503. The listed phone number is (310) 214-0409.
What is Crystal Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Crystal Kim enrolled in Medicare?
Yes. Crystal 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 Crystal Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Kim reassigns Medicare benefits to Peninsula Eyecare Medical Associates (San Pedro, CA). 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 Crystal Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 Crystal 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 Crystal Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Crystal Kim · NPI 1356861645
Optometrist provider in Torrance, California. Individual provider, active in the CMS NPPES registry since June 27, 2017.
## Identity
- **NPI:** 1356861645 (Entity type: Individual)
- **Enumerated:** June 27, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 33716 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21600 HAWTHORNE BLVD, Torrance, CA 90503-5710
- **Phone:** (310) 214-0409
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Peninsula Eyecare Medical Associates (NPI 1033131933, San Pedro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1356861645) · Data from the CMS NPPES public registry.