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DR. SHELLEY S KIM O.D.
NPI 1396752846
Optometrist in Des Plaines, IL

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
865 ELMHURST RD, DES PLAINES, IL 60016(847) 437-1005(847) 437-0755 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shelley S Kim O.d. NPPES

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

DR. SHELLEY S KIM O.D. (NPI 1396752846) is an individual optometrist in Des Plaines, Illinois, licensed in Illinois (046-0009187) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1396752846
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHELLEY S KIMCredential: O.D.
Location Address865 ELMHURST RDDes Plaines, IL 60016-5605
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(847) 437-1005
Fax(847) 437-0755
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateAugust 1, 2006
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1396752846 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 IL · 046-0009187
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.
865 ELMHURST RD, Des Plaines, IL 60016
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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. Shelley S 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 ID6901858851
PECOS Enrollment IDI20260216002124
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 60016 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

MR. ALLEN BRUCE SIMON OD
Optometrist
865 ELMHURST RD
DES PLAINES, IL 60016
Cook County (847) 437-1005
BEST VISION OPTOMETRY INC
Clinic/Center
865 ELMHURST RD
DES PLAINES, IL 60016
Cook County (847) 437-1005
SYEDA RABAB FATIMA OD
Optometrist
865 ELMHURST RD
DES PLAINES, IL 60016
Cook County (847) 437-1005
MYEYEDR OPTOMETRY OF ILLINOIS, LLC
Optometrist
865 ELMHURST RD
DES PLAINES, IL 60016
Cook County (847) 437-1005

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 Shelley Kim's NPI number?

The NPI number for Shelley Kim is 1396752846. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Shelley Kim located?

Shelley Kim practices at 865 Elmhurst Rd, Des Plaines, IL 60016. The listed phone number is (847) 437-1005.

What is Shelley Kim's specialty?

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

Is Shelley Kim enrolled in Medicare?

Yes. Shelley 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.

When was this NPI record last updated?

The NPPES record for Shelley Kim was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.