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MICHELLE KIM OD
NPI 1497432058
Optometrist in Philadelphia, PA

Active since July 05, 2023PECOS EnrolledAccepts Medicare Assignment
180 W GIRARD AVE STE 5, PHILADELPHIA, PA 19123(215) 554-6222(215) 554-6200 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Jul 5, 2023 (2 updates tracked since 2023).

About Michelle Kim Od NPPES

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

MICHELLE KIM OD (NPI 1497432058) is an individual optometrist in Philadelphia, Pennsylvania, licensed in New York (TUV009823-01) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2023).

NPPES Registry Identity

NPI1497432058
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELLE KIMCredential: OD
Location Address180 W GIRARD AVE STE 5Philadelphia, PA 19123-1660
Mailing Address5597 Tulip St Ste B8Philadelphia, PA 19124-1562
Phone(215) 554-6222
Fax(215) 554-6200
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2023
Enumeration DateJuly 5, 2023
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1497432058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · TUV009823-01✔ Licensed in PA · OEG004137
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.
180 W GIRARD AVE STE 5, Philadelphia, PA 19123
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15597 Tulip St Ste B8Philadelphia, PA 19124-1562 · Phone (267) 360-6944 · Fax (267) 360-6945
Location 249 E City Ave # 10Bala Cynwyd, PA 19004-2421 · Phone (610) 206-3866 · Fax (610) 206-3836
Location 31501 N Broad St Ste 7Philadelphia, PA 19122-3319 · Phone (215) 866-1742 · Fax (215) 866-1759
Location 4612 Washington Ave Ste 3Philadelphia, PA 19147-4836 · Phone (215) 599-2020 · Fax (215) 599-2023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

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 ID3375088453
PECOS Enrollment IDI20240712002374
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 19123 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 11

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

JANICE CHAU OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
DR. MICHAEL JOSEPH JERJOS OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
DR. JEANETTE TROSINO OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
DR. MEGAN MCDONALD OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
DR. BINDI DINESH PATEL OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
TREND EYE CARE LLC
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
SONAM K. PATEL OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222
KAROLINA PASIERB OD
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Philadelphia County (215) 554-6222

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 1497432058. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Michelle Kim located?

Michelle Kim practices at 180 W Girard Ave Ste 5, Philadelphia, PA 19123. The listed phone number is (215) 554-6222.

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.

What insurance does Michelle Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers 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 July 1, 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.