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DR. MICHELLE KIM OD
NPI 1457328825
Optometrist in Cardiff, CA

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
2027 SAN ELIJO AVE STE 2027, CARDIFF, CA 92007(760) 452-2895(760) 452-2898 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michelle Kim Od NPPES

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

DR. MICHELLE KIM OD (NPI 1457328825) is an individual optometrist in Cardiff, California, licensed in California (11566) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).

NPPES Registry Identity

NPI1457328825
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHELLE KIMCredential: OD
Location Address2027 SAN ELIJO AVE STE 2027Cardiff, CA 92007-1726
Mailing Address2027 San Elijo Ave Ste 2027Cardiff, CA 92007-1726 · (760) 452-2895 · Fax (760) 452-2898
Phone(760) 452-2895
Fax(760) 452-2898
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1999
Enumeration DateMarch 3, 2006
Last NPPES UpdateMarch 25, 2014
✔ NPI 1457328825 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 CA · 11566
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.
2027 SAN ELIJO AVE STE 2027, Cardiff, CA 92007
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Other Identifiers 3

Medicare UPINU91013CA
Medicare UPINWOP11566DCA
Medicare PINDM596ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Michelle 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 ID7315962628
PECOS Enrollment IDI20051005001244
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spektacles Optometry And Eyewear Inc.
Same address
Optometrist
2027 SAN ELIJO AVE, SUITE 2027
Cardiff, CA 92007
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1780954818 (760) 452-2895
Arch Health Partners
8.7 mi
Surgery
2385 S MELROSE DR
Vista, CA 92081
  • Reassigned Medicare billing, California enrollment
  • 144 clinicians in this Medicare group
NPI 1780222968 (760) 845-2863

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 2

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
57 services57 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92007 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1457328825. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Michelle Kim located?

Michelle Kim practices at 2027 San Elijo Ave Ste 2027, Cardiff, CA 92007. The listed phone number is (760) 452-2895.

What is Michelle Kim's specialty?

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

Is Michelle Kim enrolled in Medicare?

Yes. Michelle 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 organizations bill Medicare for Michelle Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kim reassigns Medicare benefits to 2 organizations: Spektacles Optometry And Eyewear Inc. (Cardiff, CA) and Arch Health Partners (Vista, CA). Each 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 Michelle Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle 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 Michelle 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 Michelle Kim was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.