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JANE KIM OD
NPI 1841711082
Optometrist in Hurst, TX

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment
1101 MELBOURNE RD STE 3002, HURST, TX 76053(817) 284-0798 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane Kim Od NPPES

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

JANE KIM OD (NPI 1841711082) is an individual optometrist in Hurst, Texas, licensed in Texas (9172T) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2017).

NPPES Registry Identity

NPI1841711082
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJANE KIMCredential: OD
Location Address1101 MELBOURNE RD STE 3002Hurst, TX 76053-6225
Mailing Address1404 Indian SpgsCarrollton, TX 75007-6000
Phone(817) 284-0798
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2017
Enumeration DateJune 28, 2017
✔ NPI 1841711082 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 TX · 9172T
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.
1101 MELBOURNE RD STE 3002, Hurst, TX 76053
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jane 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.

PECOS PAC ID8628343738
PECOS Enrollment IDI20170928003359
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76053 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

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

MEDI LEE PHAN OD
Optometrist
1101 MELBOURNE RD STE 3002
HURST, TX 76053
Tarrant County (817) 284-0798
ROBERT L JONES O.D.
Optometrist
1101 MELBOURNE RD STE 3002
HURST, TX 76053
Tarrant County (817) 284-0798

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 Jane Kim's NPI number?

The NPI number for Jane Kim is 1841711082. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Jane Kim located?

Jane Kim practices at 1101 Melbourne Rd Ste 3002, Hurst, TX 76053. The listed phone number is (817) 284-0798.

What is Jane Kim's specialty?

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

Is Jane Kim enrolled in Medicare?

Yes. Jane 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.

What insurance does Jane Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and WellPoint list Jane 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 Jane Kim was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.