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DR. CAROLYN C KIM OD
NPI 1467439836
Optometrist in Glendale, CA

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
96.45/100
CMS Quality Rating
607 N CENTRAL AVE, SUITE 105, GLENDALE, CA 91203(818) 956-1010(818) 543-6083 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carolyn C Kim Od NPPES

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

DR. CAROLYN C KIM OD (NPI 1467439836) is an individual optometrist in Glendale, California, licensed in California (11404TPA) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2000).

NPPES Registry Identity

NPI1467439836
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CAROLYN C KIMCredential: OD
Location Address607 N CENTRAL AVE, SUITE 105Glendale, CA 91203-1804
Mailing Address607 N Central AveGlendale, CA 91203 · (818) 956-1010 · Fax (818) 543-6083
Phone(818) 956-1010
Fax(818) 543-6083
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2000
Enumeration DateDecember 28, 2005
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1467439836 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 · 11404TPA
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.
607 N CENTRAL AVE, Glendale, CA 91203
Open in Google Maps ↗

Other Names 1

Former Name (1)Carolyn Wang

Other Identifiers 1

MedicaidZZZ75843ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Carolyn C 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 ID7012983273
PECOS Enrollment IDI20040908001407
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 91203 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost71.51

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
76%21 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
95%21 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
75%393 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
15%358 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 83% · 183 patients
83%183 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
89%37 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
54%358 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 179 patients
0%179 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

GLENDALE OPHTHALMOLOGY ASC LP
Clinic/Center (Ambulatory Surgical)
607 N CENTRAL AVE, SUITE 103
GLENDALE, CA 91203
Los Angeles County (818) 956-1010
DR. RICHARD A WEISE MD
Ophthalmology
607 N CENTRAL AVE, SUITE 105
GLENDALE, CA 91203
Los Angeles County (818) 956-1010
HELEN M. WU MD
Ophthalmology
607 N CENTRAL AVE, SUITE 204
GLENDALE, CA 91203
Los Angeles County (818) 956-1010
DR. STEPHEN S CHANG MD
Ophthalmology
607 N CENTRAL AVE
GLENDALE, CA 91203
Los Angeles County (818) 956-1010
HAMLET DAVARI D.D.S.
Dentist (General Practice)
607 N CENTRAL AVE, 301
GLENDALE, CA 91203
Los Angeles County (818) 242-4781
DR. GARY JORDAN HAVENS M.D.
Specialist
607 N CENTRAL AVE, SUITE #208
GLENDALE, CA 91203
Los Angeles County (818) 551-6666
DR. FRANK DONALD GROSSMAN JR. DDS
Dentist (General Practice)
607 N CENTRAL AVE, SUITE 305
GLENDALE, CA 91203
Los Angeles County (818) 242-4526
RAZMIK OVANESPOUR, D.D.S. INC.
Dentist (General Practice)
607 N CENTRAL AVE, SUITE #308
GLENDALE, CA 91203
Los Angeles County (818) 244-8385

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 Carolyn Kim's NPI number?

The NPI number for Carolyn Kim is 1467439836. It was assigned to this individual provider in the NPPES registry on December 28, 2005. The provider is also known as Carolyn Wang.

Where is Carolyn Kim located?

Carolyn Kim practices at 607 N Central Ave Suite 105, Glendale, CA 91203. The listed phone number is (818) 956-1010.

What is Carolyn Kim's specialty?

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

Is Carolyn Kim enrolled in Medicare?

Yes. Carolyn 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 Carolyn Kim accept?

Health plans from 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 Carolyn 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 Carolyn Kim was last updated on March 5, 2024. 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.