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STELLA KIM
NPI 1508272253
Optometrist in West Covina, CA

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
2225 E GARVEY AVE N STE A, WEST COVINA, CA 91791(266) 009-4866 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2022, Aug 18, 2022, Feb 1, 2022 and 1 more (4 updates tracked since 2019).

About Stella Kim NPPES

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

STELLA KIM (NPI 1508272253) is an individual optometrist in West Covina, California, licensed in California (14985TLG) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2014).

NPPES Registry Identity

NPI1508272253
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSTELLA KIM
Location Address2225 E GARVEY AVE N STE AWest Covina, CA 91791-1500
Mailing Address1246 E Arrow Hwy Ste AUpland, CA 91786-4955 · (909) 931-9675 · Fax (909) 931-3239
Phone(266) 009-4866
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1508272253 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 · 14985TLG
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.
2225 E GARVEY AVE N STE A, West Covina, CA 91791
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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

Stella Kim 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 ID6204053408
PECOS Enrollment IDI20180404000639
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 Reassignment

Medicare enrollment records show Stella Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.1 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91791 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.

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 Stella Kim's NPI number?

The NPI number for Stella Kim is 1508272253. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Stella Kim located?

Stella Kim practices at 2225 E Garvey Ave N Ste A, West Covina, CA 91791. The listed phone number is (266) 009-4866.

What is Stella Kim's specialty?

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

Is Stella Kim enrolled in Medicare?

Yes. Stella 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 organization bills Medicare for Stella Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The 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 Stella Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stella Kim accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Stella 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 Stella Kim was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.