KATHY KIM OD & ASSOCIATES, PLLC
NPI 1902850308
Optometrist in Lakewood, WA

Q: What is Kathy Kim Od & Associates, PLLC's NPI number?

The NPI number for Kathy Kim Od & Associates, PLLC is 1902850308. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as South Sound Eye Care.

Q: What is Kathy Kim Od & Associates, PLLC's specialty?

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

Active since May 20, 2006

8520 STEILACOOM BLVD SW, SUITE 101, LAKEWOOD, WA 98498(253) 475-3937(855) 664-7324 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kathy Kim Od & Associates, Pllc NPPES

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

KATHY KIM OD & ASSOCIATES, PLLC (NPI 1902850308), doing business as South Sound Eye Care, is a healthcare organization registered as an optometrist in Lakewood, Washington and active in the NPI registry since May 2006. The organization lists Kathy Kim, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1902850308

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKATHY KIM OD & ASSOCIATES, PLLC

Location Address8520 STEILACOOM BLVD SW, SUITE 101Lakewood, WA 98498-4773

Mailing Address8520 Steilacoom Blvd Sw Ste 200aLakewood, WA 98498-4773 · (253) 475-3937 · Fax (855) 664-7324

Phone(253) 475-3937

Fax(855) 664-7324

Organization SubpartNo

Authorized OfficialKathy KimOwner/manager · (253) 475-3937

Enumeration DateMay 20, 2006

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1902850308 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.

8520 STEILACOOM BLVD SW, Lakewood, WA 98498

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Other Names 1

Doing Business AsSouth Sound Eye Care

Other Identifiers 1

Medicaid2029429WA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy Kim Od & Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWashingtonEnrollment IDO20060626000038Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kathy Kim Od & Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathy Kim, O.D.

Optometry

NPI 1962591396

8520 STEILACOOM BLVD SW STE 200A
Lakewood, WA 98498

(253) 475-3937

✔ PECOS✔ Accepts MedicareSame address

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 Kathy Kim Od & Associates, PLLC's NPI number?

The NPI number for Kathy Kim Od & Associates, PLLC is 1902850308. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as South Sound Eye Care.

Where is Kathy Kim Od & Associates, PLLC located?

Kathy Kim Od & Associates, PLLC is located at 8520 Steilacoom Blvd SW Suite 101, Lakewood, WA 98498. The listed phone number is (253) 475-3937.

What is Kathy Kim Od & Associates, PLLC's specialty?

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

Is Kathy Kim Od & Associates, PLLC enrolled in Medicare?

Yes. Kathy Kim Od & Associates, PLLC is registered in the Medicare PECOS enrollment system.

When is Kathy Kim Od & Associates, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kathy Kim Od & Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kathy Kim Od & Associates, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kathy Kim Od & Associates, PLLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.