DR. SUSAN Y KIM O.D.
NPI 1841499332
Optometrist in Los Angeles, CA
About Dr. Susan Y Kim O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN Y KIM O.D. (NPI 1841499332) is an individual optometrist in Los Angeles, California, licensed in California (11069T) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1998).
NPPES Registry Identity
Specialties & Licenses
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. Susan Y Kim O.d. 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 Reassignment
Medicare enrollment records show Susan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 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 90020 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90020
LOS ANGELES, CA 90020
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 Susan Kim's NPI number?
The NPI number for Susan Kim is 1841499332. It was assigned to this individual provider in the NPPES registry on July 13, 2007.
Where is Susan Kim located?
Susan Kim practices at 4220 W 3rd St Suite 206, Los Angeles, CA 90020. The listed phone number is (310) 373-4370.
What is Susan Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Susan Kim enrolled in Medicare?
Yes. Susan 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 organization bills Medicare for Susan Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Susan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Susan Y Kim, O.D. · NPI 1841499332
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 13, 2007.
## Identity
- **NPI:** 1841499332 (Entity type: Individual)
- **Enumerated:** July 13, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11069T (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4220 W 3RD ST, SUITE 206, Los Angeles, CA 90020-3450
- **Phone:** (310) 373-4370
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 1998
## Record status
- **NPPES last updated:** November 29, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1841499332) · Data from the CMS NPPES public registry.