DR. LILY H KIM OD
NPI 1780655464
Optometrist in Santa Clara, CA
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Lily Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Berkeley, CA 94720
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Lily Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lily Kim reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Santa Clara, CA), Regents Of The University Of California At Berkeley (Berkeley, CA) and Total Vision PC (San Diego, CA). Each 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 Lily Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lily Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan 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.
# Dr. Lily H Kim, OD · NPI 1780655464
Optometrist provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1780655464 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 10347TPG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2366 EL CAMINO REAL, STE 5, Santa Clara, CA 95050-4070
- **Phone:** (408) 246-5858 · **Fax:** (408) 246-5717
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); Regents Of The University Of California At Berkeley (NPI 1306908058, Berkeley, CA); Total Vision PC (NPI 1356813711, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California - School Of Optometry, class of 1994
## Record status
- **NPPES last updated:** July 3, 2014
- **Other identifiers:** Medicare PIN SD0103470 (CA); Medicare NSC 5925880001 (CA); Medicare UPIN U93173; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780655464) · Data from the CMS NPPES public registry.