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DEBORAH KIM O.D.
NPI 1750955704
Optometrist in La Habra, CA

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
432 N CITRUS HILL LN, LA HABRA, CA 90631(818) 304-1235 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2022, May 14, 2021 (2 updates tracked since 2021).

About Deborah Kim O.d. NPPES

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

DEBORAH KIM O.D. (NPI 1750955704) is an individual optometrist in La Habra, California, licensed in California (TBD) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2021).

NPPES Registry Identity

NPI1750955704
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDEBORAH KIMCredential: O.D.
Location Address432 N CITRUS HILL LNLa Habra, CA 90631-4570
Mailing Address432 N Citrus Hill LnLa Habra, CA 90631-4570 · (818) 304-1235
Phone(818) 304-1235
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2021
Enumeration DateMay 14, 2021
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1750955704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · TBD
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.
432 N CITRUS HILL LN, La Habra, CA 90631
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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

Deborah Kim O.d. 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.

PECOS PAC ID7416325188
PECOS Enrollment IDI20221130002562
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 Deborah Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
13 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

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 90631 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.

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 Deborah Kim's NPI number?

The NPI number for Deborah Kim is 1750955704. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Deborah Kim located?

Deborah Kim practices at 432 N Citrus Hill Ln, La Habra, CA 90631. The listed phone number is (818) 304-1235.

What is Deborah Kim's specialty?

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

Is Deborah Kim enrolled in Medicare?

Yes. Deborah 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 organization bills Medicare for Deborah Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). 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 Deborah 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 Deborah Kim was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.