DONG HYUN KIM OD
NPI 1669929303
Optometrist in Fair Lawn, NJ
About Dong Hyun Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONG HYUN KIM OD (NPI 1669929303) is an individual optometrist in Fair Lawn, New Jersey, licensed in New Jersey (27OA00668800) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dong Hyun 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey and New York enrollments
- 19 clinicians in this Medicare group
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
- 11 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
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 Dong Kim's NPI number?
The NPI number for Dong Kim is 1669929303. It was assigned to this individual provider in the NPPES registry on September 9, 2016.
Where is Dong Kim located?
Dong Kim practices at 4-14 Saddle River Rd Suite 202, Fair Lawn, NJ 07410. The listed phone number is (201) 797-2747.
What is Dong Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Dong Kim enrolled in Medicare?
Yes. Dong 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 Dong Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dong Kim reassigns Medicare benefits to 2 organizations: Resident Eye Care Associates, LLC (Fair Lawn, NJ) and Home Vision Group LLC (Fair Lawn, NJ). 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 Dong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dong Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Oscar Health and Oscar Health Insurance and 6 other insurers list Dong 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 Dong Kim was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dong Hyun Kim, OD · NPI 1669929303
Optometrist provider in Fair Lawn, New Jersey. Individual provider, active in the CMS NPPES registry since September 9, 2016.
## Identity
- **NPI:** 1669929303 (Entity type: Individual)
- **Enumerated:** September 9, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00668800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 4-14 SADDLE RIVER RD, SUITE 202, Fair Lawn, NJ 07410-5632
- **Phone:** (201) 797-2747 · **Fax:** (201) 797-5809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Resident Eye Care Associates, LLC (NPI 1508883307, Fair Lawn, NJ); Home Vision Group LLC (NPI 1609067230, Fair Lawn, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2016
## Record status
- **NPPES last updated:** September 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1669929303) · Data from the CMS NPPES public registry.