DR. JIN KIM OD
NPI 1407549314
Optometrist in Atlanta, GA

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
800 MOUNT VERNON HWY NE, ATLANTA, GA 30328(404) 256-1125 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jin Kim Od NPPES

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

DR. JIN KIM OD (NPI 1407549314) is an individual optometrist in Atlanta, Georgia, licensed in Georgia (OPT003523) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2023).

NPPES Registry Identity

NPI1407549314
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JIN KIMCredential: OD
Location Address800 MOUNT VERNON HWY NEAtlanta, GA 30328-4295
Mailing Address22 Old English DrCharleston, SC 29407-6014
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2023
Enumeration DateMay 29, 2023
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedAugust 29, 2023
NPI 1407549314 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 GA · OPT003523
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.
800 MOUNT VERNON HWY NE, Atlanta, GA 30328

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Dr. Jin Kim Od 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 ID8325585623
PECOS Enrollment IDI20240805002101
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 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Clinic/Center (Physical Therapy)
800 MOUNT VERNON HWY NE, SUITE 160
ATLANTA, GA 30328
Registered Nurse
800 MOUNT VERNON HWY NE
ATLANTA, GA 30328
Optometrist
800 MOUNT VERNON HWY NE
ATLANTA, GA 30328
Anesthesiology
800 MOUNT VERNON HWY NE
ATLANTA, GA 30328
Optometrist
800 MOUNT VERNON HWY NE, SUITE 130
ATLANTA, GA 30328
Optometrist
800 MOUNT VERNON HWY NE, SUITE 130
ATLANTA, GA 30328

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1407549314. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Jin Kim located?

Jin Kim practices at 800 Mount Vernon Hwy NE, Atlanta, GA 30328. The listed phone number is (404) 256-1125.

What is Jin Kim's specialty?

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

Is Jin Kim enrolled in Medicare?

Yes. Jin 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 Jin 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 Jin 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 Jin Kim was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.