CAROL KIM O.D.
NPI 1700084456
Optometrist in Lynnwood, WA

Q: What is Carol Kim's NPI number?

The NPI number for Carol Kim is 1700084456. It was assigned to this individual provider in the NPPES registry on July 4, 2007. The provider is also known as Carol Shim Od.

Q: What is Carol Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carol Kim was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 04, 2007PECOS Enrolled

18700 ALDERWOOD MALL PKWY, LYNNWOOD, WA 98037(425) 640-6532(425) 640-7518 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2019, Feb 10, 2017, Feb 25, 2016 (3 updates tracked since 2016).

On this page

About Carol Kim O.d. NPPES

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

CAROL KIM O.D. (NPI 1700084456) is an individual optometrist in Lynnwood, Washington, licensed in Washington (OD60188672) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Southern California College Of Optometry (2007).

NPPES Registry Identity

NPI1700084456

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameCAROL KIMCredential: O.D.

Location Address18700 ALDERWOOD MALL PKWYLynnwood, WA 98037-8005

Mailing Address3829 177th Pl SwLynnwood, WA 98037-7528 · (714) 469-1478 · Fax (425) 406-7518

Phone(425) 640-6532

Fax(425) 640-7518

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2007

Enumeration DateJuly 4, 2007

Last NPPES UpdateSeptember 26, 20193 updates tracked since enumeration

✔ NPI 1700084456 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 WA · OD60188672✔ Licensed in CA · 13281

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.

18700 ALDERWOOD MALL PKWY, Lynnwood, WA 98037

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Other Names 1

Former Name (1)Carol Shim Od

Secondary Practice Location 1

Location 11302 SE Everett Mall Way, Sears OpticalEverett, WA 98208-2831 · Phone (714) 469-1478 · Fax (425) 348-5080

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 (PECOS)

Carol Kim O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486748068

PECOS Enrollment IDI20140512000048

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 98037 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 2

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

CRYSTAL VISION CARE, PLLC

Optometrist

18700 ALDERWOOD MALL PKWY
LYNNWOOD, WA 98037

Snohomish County (425) 640-6532

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

18700 ALDERWOOD MALL PKWY
LYNNWOOD, WA 98037

Snohomish County (425) 640-2239

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 Carol Kim's NPI number?

The NPI number for Carol Kim is 1700084456. It was assigned to this individual provider in the NPPES registry on July 4, 2007. The provider is also known as Carol Shim Od.

Where is Carol Kim located?

Carol Kim practices at 18700 Alderwood Mall Pkwy, Lynnwood, WA 98037. The listed phone number is (425) 640-6532.

What is Carol Kim's specialty?

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

Is Carol Kim enrolled in Medicare?

Yes. Carol Kim is registered in the Medicare PECOS enrollment system.

What insurance does Carol 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, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Carol 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 Carol Kim was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.