ANNIE KIM OD
NPI 1992413066
Optometrist in New York, NY
About Annie Kim Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE KIM OD (NPI 1992413066) is an individual optometrist in New York, New York, licensed in New York (TUV009678) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annie Kim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Annie Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10023
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 2 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 10024 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Annie Kim's NPI number?
The NPI number for Annie Kim is 1992413066. It was assigned to this individual provider in the NPPES registry on November 8, 2022.
Where is Annie Kim located?
Annie Kim practices at 2384 Broadway, New York, NY 10024. The listed phone number is (212) 724-0850.
What is Annie Kim's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Annie Kim enrolled in Medicare?
Yes. Annie Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Annie Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annie Kim reassigns Medicare benefits to 2 organizations: Envaio Inc (New York, NY) and Eurooptica II LLC (New York, 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 Annie Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annie Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Annie 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 Annie Kim was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Annie Kim, OD · NPI 1992413066
Optometrist provider in New York, New York. Individual provider, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1992413066 (Entity type: Individual)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV009678 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2384 BROADWAY, New York, NY 10024-1703
- **Phone:** (212) 724-0850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Envaio Inc (NPI 1639845308, New York, NY); Eurooptica II LLC (NPI 1962258731, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992413066) · Data from the CMS NPPES public registry.