DR. GRACE J KIM OD
NPI 1760648497
Optometrist in Longmont, CO

Q: What is Grace Kim's NPI number?

The NPI number for Grace Kim is 1760648497. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Q: What is Grace 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 Grace Kim was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 01, 2008PECOS EnrolledAccepts Medicare Assignment

2285 E KEN PRATT BLVD, LONGMONT, CO 80504(720) 652-0455(303) 532-3269 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Apr 11, 2022, Jul 16, 2020 (3 updates tracked since 2020).

On this page

About Dr. Grace J Kim Od NPPES

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

DR. GRACE J KIM OD (NPI 1760648497) is an individual optometrist in Longmont, Colorado, licensed in Colorado (0003344) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2008).

NPPES Registry Identity

NPI1760648497

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. GRACE J KIMCredential: OD

Location Address2285 E KEN PRATT BLVDLongmont, CO 80504-5223

Mailing Address333 Rodden DrErie, CO 80516-9104 · (848) 219-3891

Phone(720) 652-0455

Fax(303) 532-3269

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 2008

Enumeration DateAugust 1, 2008

Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1760648497 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 CO · 0003344✔ Licensed in NJ · 27OA00614700✔ Licensed in NY · TUV007342

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.

2285 E KEN PRATT BLVD, Longmont, CO 80504

Open in Google Maps ↗

Other Identifiers 2

Other27OM00066800NJ · Oral Medication License

Other27OA00614700NJ · Doctor Of Optometry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Grace J 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.

PECOS PAC ID8325106834

PECOS Enrollment IDI20171009001597

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

39 services39 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80504 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 5

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

MADISON AABERG

Pharmacist