DR. AUSTIN SOOBIN KIM OD
NPI 1811615040
Optometrist in Bergenfield, NJ

Q: 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.

Q: What is Austin 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 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 14 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.

Active since August 15, 2022PECOS Enrolled

1 N WASHINGTON AVE, BERGENFIELD, NJ 07621(201) 374-8900 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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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 maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811615040

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. AUSTIN SOOBIN KIMCredential: OD

Location Address1 N WASHINGTON AVEBergenfield, NJ 07621-2160

Mailing Address255 8th St Unit BPalisades Park, NJ 07650-2030 · (201) 774-1012

Phone(201) 374-8900

Sole ProprietorYes

Enumeration DateAugust 15, 2022

Last NPPES UpdateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1811615040 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 NJ · 27OM00205900

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.

1 N WASHINGTON AVE, Bergenfield, NJ 07621

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Secondary Practice Locations 2

Location 140 Mott StNew York, NY 10013-5011 · Phone (212) 267-1260

Location 21036 3rd AveNew York, NY 10065-8111 · Phone (212) 751-6177

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Austin Soobin Kim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Austin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Jersey Eye Center, P.A.

0.3 mi

Optometrist

1 NORTH WASHINGTON AVENUE
Bergenfield, NJ 07621

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: New Jersey Eye Center PA
22 clinicians in this Medicare group

NPI 1235155615 (201) 384-7333

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 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.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 15

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

GOHAR HARUTYUNYAN TIRATSUYAN MD

Internal Medicine