CONNELL AND KIM, O.D. ASSOCIATES LIMITED LIABILITY COMPANY
NPI 1881212710
Optometrist in Dawsonville, GA

Q: What is Connell And Kim, O.D. Associates Limited Liability Company's specialty?

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

Active since July 07, 2020

29 DAWSON VILLAGE WAY S, DAWSONVILLE, GA 30534(706) 216-7732(706) 216-0168 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Connell And Kim, O.d. Associates Limited Liability Company NPPES

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

CONNELL AND KIM, O.D. ASSOCIATES LIMITED LIABILITY COMPANY (NPI 1881212710), doing business as Spec-takular Boutique, is a healthcare organization registered as an optometrist in Dawsonville, Georgia and active in the NPI registry since July 2020. The organization lists Michael Connell, Member, as its authorized official.

NPPES Registry Identity

NPI1881212710

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCONNELL AND KIM, O.D. ASSOCIATES LIMITED LIABILITY COMPANY

Location Address29 DAWSON VILLAGE WAY SDawsonville, GA 30534-5632

Mailing Address29 Dawson Village Way SDawsonville, GA 30534-5632 · (706) 216-7732 · Fax (706) 216-0168

Phone(706) 216-7732

Fax(706) 216-0168

Organization SubpartNo

Authorized OfficialMichael ConnellMember · (423) 748-6778

Enumeration DateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1881212710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

29 DAWSON VILLAGE WAY S, Dawsonville, GA 30534

Open in Google Maps ↗

Other Names 1

Doing Business AsSpec-takular Boutique

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 Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connell And Kim, O.d. Associates Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Connell And Kim, O.D. Associates Limited Liability Company, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jeung Kim, OD

Optometry

NPI 1205128360

29 DAWSON VILLAGE WAY S
Dawsonville, GA 30534

(706) 216-7732

✔ PECOS✔ Accepts MedicareSame address

Michael Connell, O.D.

Optometry

NPI 1447669635

1260 LLOYD CTR
Portland, OR 97232

(503) 331-3984

✔ PECOS✔ Accepts Medicare2,154 mi

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

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 Connell And Kim, O.D. Associates Limited Liability Company's NPI number?

The NPI number for Connell And Kim, O.D. Associates Limited Liability Company is 1881212710. It was assigned to this organization in the NPPES registry on July 7, 2020. The provider is doing business as Spec-Takular Boutique.

Where is Connell And Kim, O.D. Associates Limited Liability Company located?

Connell And Kim, O.D. Associates Limited Liability Company is located at 29 Dawson Village Way S, Dawsonville, GA 30534. The listed phone number is (706) 216-7732.

What is Connell And Kim, O.D. Associates Limited Liability Company's specialty?

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

Is Connell And Kim, O.D. Associates Limited Liability Company enrolled in Medicare?

Yes. Connell And Kim, O.D. Associates Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connell And Kim, O.D. Associates Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Connell And Kim, O.D. Associates Limited Liability Company. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Connell And Kim, O.D. Associates Limited Liability Company accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Connell And Kim, O.D. Associates Limited Liability Company 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 Connell And Kim, O.D. Associates Limited Liability Company was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.