DR. HETTY YI KIM O.D.
NPI 1720115850
Optometrist in Van Nuys, CA

Q: What is Hetty Kim's NPI number?

The NPI number for Hetty Kim is 1720115850. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Hetty 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 Hetty Kim was last updated on February 11, 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.

Active since February 27, 2007PECOS Enrolled

14914 SHERMAN WAY, VAN NUYS, CA 91405(818) 787-2020(818) 787-8652 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Hetty Yi Kim O.d. NPPES

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

DR. HETTY YI KIM O.D. (NPI 1720115850) is an individual optometrist in Van Nuys, California, licensed in California (12390T) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720115850

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. HETTY YI KIMCredential: O.D.

Location Address14914 SHERMAN WAYVan Nuys, CA 91405-2113

Mailing Address14914 Sherman WayVan Nuys, CA 91405-2113 · (818) 787-2020 · Fax (818) 787-8652

Phone(818) 787-2020

Fax(818) 787-8652

Sole ProprietorYes

Enumeration DateFebruary 27, 2007

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1720115850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 12390T

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 12390T (CA)

14914 SHERMAN WAY, Van Nuys, CA 91405

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Other Identifiers 1

OtherOPT12390TCA · Optom License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 91405 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.

Other Providers at the Same Location NPPES 7

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

HANH T LE O.D.

Optometrist