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DR. IL JIN KIM OD
NPI 1831685429
Optometrist in Bronx, NY

Active since July 06, 2018PECOS Enrolled
90 W 225TH ST, BRONX, NY 10463(718) 664-2164 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Il Jin Kim Od NPPES

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

DR. IL JIN KIM OD (NPI 1831685429) is an individual optometrist in Bronx, New York, licensed in New York (TUV008772) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831685429
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. IL JIN KIMCredential: OD
Location Address90 W 225TH STBronx, NY 10463-7002
Mailing Address8638 Town And Country Blvd Apt BEllicott City, MD 21043-2906 · (443) 765-7002
Phone(718) 664-2164
Sole ProprietorNo
Enumeration DateJuly 6, 2018
✔ NPI 1831685429 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 NY · TUV008772
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.
90 W 225TH ST, Bronx, NY 10463
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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. Il Jin 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 Reassignments

2

Medicare enrollment records show Il Jin Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wise Medical Ny PC
18 mi
Optometrist
5918 18TH AVE STE 3
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1245751882 (212) 739-1799
Visual Optometry PLLC
20 mi
Optometrist
2340 CROPSEY AVE
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Jacob C Shafran Optometry PLLC
  • 15 clinicians in this Medicare group
NPI 1871351155 (212) 739-1799

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
130 services129 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.
86 services86 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
69 services66 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.
68 services68 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
26 services26 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 3

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

DR. FRANK VITO CRISTALLO III OD
Optometrist
90 W 225TH ST
BRONX, NY 10463
Bronx County (718) 664-2164
NATIONAL VISION, INC.
Technician/Technologist (Optician)
90 W 225TH ST
BRONX, NY 10463
Bronx County (718) 664-2164
DR. NISTHA JAKI OD
Optometrist
90 W 225TH ST
BRONX, NY 10463
Bronx County (718) 664-2164

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 Il Jin Kim's NPI number?

The NPI number for Il Jin Kim is 1831685429. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Il Jin Kim located?

Il Jin Kim practices at 90 W 225th St, Bronx, NY 10463. The listed phone number is (718) 664-2164.

What is Il Jin Kim's specialty?

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

Is Il Jin Kim enrolled in Medicare?

Yes. Il Jin Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Il Jin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Il Jin Kim reassigns Medicare benefits to 2 organizations: Wise Medical Ny PC (Brooklyn, NY) and Visual Optometry PLLC (Brooklyn, NY). 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 Il Jin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Il Jin Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Il Jin 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 Il Jin Kim was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.