DR. AUSTIN SOOBIN KIM OD
NPI 1811615040
Optometrist in Bergenfield, NJ
About Dr. Austin Soobin Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUSTIN SOOBIN KIM OD (NPI 1811615040) is an individual optometrist in Bergenfield, New Jersey, licensed in New Jersey (27OM00205900) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 (PECOS)
Dr. Austin Soobin Kim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07621 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERGENFIELD, NJ 07621
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 Austin Kim's NPI number?
The NPI number for Austin Kim is 1811615040. It was assigned to this individual provider in the NPPES registry on August 15, 2022.
Where is Austin Kim located?
Austin Kim practices at 1 N Washington Ave, Bergenfield, NJ 07621. The listed phone number is (201) 374-8900.
What is Austin Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Austin Kim enrolled in Medicare?
Yes. Austin Kim is registered in the Medicare PECOS enrollment system.
What insurance does Austin 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 Austin 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 Austin Kim was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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. Austin Soobin Kim, OD · NPI 1811615040
Optometrist provider in Bergenfield, New Jersey. Individual provider, active in the CMS NPPES registry since August 15, 2022.
## Identity
- **NPI:** 1811615040 (Entity type: Individual)
- **Enumerated:** August 15, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OM00205900 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 N WASHINGTON AVE, Bergenfield, NJ 07621-2160
- **Phone:** (201) 374-8900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811615040) · Data from the CMS NPPES public registry.