DR. LILY H KIM OD
NPI 1780655464
Optometrist in Santa Clara, CA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
2366 EL CAMINO REAL, STE 5, SANTA CLARA, CA 95050(408) 246-5858(408) 246-5717 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Lily H Kim Od NPPES

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

DR. LILY H KIM OD (NPI 1780655464) is an individual optometrist in Santa Clara, California, licensed in California (10347TPG) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1994).

NPPES Registry Identity

NPI1780655464
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LILY H KIMCredential: OD
Location Address2366 EL CAMINO REAL, STE 5Santa Clara, CA 95050-4070
Mailing Address2366 El Camino Real, Ste 5Santa Clara, CA 95050-4070 · (408) 246-5858 · Fax (408) 246-5717
Fax(408) 246-5717
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1994
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 3, 2014
NPI 1780655464 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 · 10347TPG
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.
2366 EL CAMINO REAL, Santa Clara, CA 95050

Other Identifiers 4

Medicare PINSD0103470CA
Medicare NSC5925880001CA
Medicare UPINU93173
MedicaidSD0103470CA

Accepted 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. Lily H 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 ID3779571013
PECOS Enrollment IDI20040512001249
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 95050 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 2

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

Optometrist
2366 EL CAMINO REAL, #5
SANTA CLARA, CA 95050
Optometrist
2366 EL CAMINO REAL, SUITE 5
SANTA CLARA, CA 95050

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 Lily Kim's NPI number?

The NPI number for Lily Kim is 1780655464. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Lily Kim located?

Lily Kim practices at 2366 El Camino Real Ste 5, Santa Clara, CA 95050. The listed phone number is (408) 246-5858.

What is Lily Kim's specialty?

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

Is Lily Kim enrolled in Medicare?

Yes. Lily 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.

What insurance does Lily Kim accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lily 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 Lily Kim was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.