ASHLYNNE KIM OD
NPI 1548924194
Optometrist in Glendale, CA
About Ashlynne Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLYNNE KIM OD (NPI 1548924194) is an individual optometrist in Glendale, California, licensed in California (35062) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tarzana.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashlynne Kim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ashlynne Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91107
- Reassigned Medicare billing, California enrollment
- 70 clinicians in this Medicare group
Costa Mesa, CA 92627
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
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 91202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ashlynne Kim's NPI number?
The NPI number for Ashlynne Kim is 1548924194. It was assigned to this individual provider in the NPPES registry on October 28, 2021.
Where is Ashlynne Kim located?
Ashlynne Kim practices at 1025 N Brand Blvd Ste 200, Glendale, CA 91202. The listed phone number is (818) 583-9933.
What is Ashlynne Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ashlynne Kim enrolled in Medicare?
Yes. Ashlynne Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ashlynne Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashlynne Kim reassigns Medicare benefits to 2 organizations: Azul Vision Inc. (Pasadena, CA) and (Costa Mesa, 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 Ashlynne Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashlynne Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Ashlynne 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 Ashlynne Kim was last updated on August 6, 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.
# Ashlynne Kim, OD · NPI 1548924194
Optometrist provider in Glendale, California. Individual provider, active in the CMS NPPES registry since October 28, 2021.
## Identity
- **NPI:** 1548924194 (Entity type: Individual)
- **Enumerated:** October 28, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35062 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 N BRAND BLVD STE 200, Glendale, CA 91202-3638
- **Phone:** (818) 583-9933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Azul Vision Inc. (NPI 1285247528, Pasadena, CA); (NPI 1801882253, Costa Mesa, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1548924194) · Data from the CMS NPPES public registry.