RAYCHEL LYN KIM OD
NPI 1730674169
Optometrist in Puyallup, WA

Q: What is Raychel Kim's NPI number?

The NPI number for Raychel Kim is 1730674169. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Raychel 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 Raychel Kim was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 27, 2018PECOS Enrolled

3500 S MERIDIAN STE 926, PUYALLUP, WA 98373(253) 391-2389 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2020, Mar 12, 2020, Aug 28, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Raychel Lyn Kim Od NPPES

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

RAYCHEL LYN KIM OD (NPI 1730674169) is an individual optometrist in Puyallup, Washington, licensed in Washington (OD60861947) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730674169

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameRAYCHEL LYN KIMCredential: OD

Location Address3500 S MERIDIAN STE 926Puyallup, WA 98373-3722

Mailing Address3500 S Meridian Ste 926Puyallup, WA 98373-3722 · (253) 391-2389

Phone(253) 391-2389

Sole ProprietorNo

Enumeration DateJune 27, 2018

Last NPPES UpdateDecember 2, 20204 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1730674169 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 · OD60861947✔ Licensed in HI · OD894

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.

3500 S MERIDIAN STE 926, Puyallup, WA 98373

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Secondary Practice Locations 2

Location 11527 Kaleilani StPearl City, HI 96782-2041 · Phone (808) 341-8506

Location 21000 Kamehameha Hwy Ste 100Pearl City, HI 96782 · Phone (808) 456-3937

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raychel Lyn Kim Od 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.

Medicare Billing Reassignment

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

Kyle Sexton, O.D., LLC

0.1 mi

Optometrist

3500 S MERIDIAN, SPACE 945
Puyallup, WA 98373

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Kyle Sexton Od LLC
13 clinicians in this Medicare group

NPI 1972778009 (253) 864-9353

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 98373 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 3

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

MELANIE LYNN DUNCAN LDO

Technician/Technologist (Optician)

3500 S MERIDIAN STE 926
PUYALLUP, WA 98373

Pierce County (253) 864-9350

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

3500 S MERIDIAN STE 926
PUYALLUP, WA 98373

Pierce County (253) 864-9350

MRS. CHRISTINA LEIGH BAILEY OD

Optometrist

3500 S MERIDIAN STE 926
PUYALLUP, WA 98373

Pierce County (253) 864-9350

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 Raychel Kim's NPI number?

The NPI number for Raychel Kim is 1730674169. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Raychel Kim located?

Raychel Kim practices at 3500 S Meridian Ste 926, Puyallup, WA 98373. The listed phone number is (253) 391-2389.

What is Raychel Kim's specialty?

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

Is Raychel Kim enrolled in Medicare?

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

Which organization bills Medicare for Raychel Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raychel Kim reassigns Medicare benefits to Kyle Sexton, O.D., LLC (Puyallup, WA). 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 Raychel Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raychel Kim was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.