DR. MIRAN JULIE KIM (O.D.) – Optometrist, NPI 1497778393
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
Provider Addresses for DR. MIRAN JULIE KIM (O.D.)
2322 E Thousand Oaks Blvd
Thousand Oaks, CA 913623206
Phone: (805) 557-1055
Fax: (805) 557-1101
Type: Location
2125 E Thousand Oaks Blvd Ste A
Thousand Oaks, CA 913622945
Phone: (805) 557-1055
Type: Location
1040 FLYNN RD
CAMARILLO, CA 930125092
Phone: (805) 673-3930
Fax: (805) 659-3217
Type: Mailing
1100 W GONZALES RD
OXNARD, CA 930363336
Phone: (805) 278-2206
Fax: (805) 973-8869
Type: Location
East Thousand Oaks Boulevard, Greenwich Village, Thousand Oaks, Ventura County, California, 91360, United States
THOUSAND OAKS, CA 913622945
Phone: (805) 557-1055
Fax: (805) 557-1101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Alcon Vision LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061003000157 | I | Optometry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 39 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
| 92004 | New patient complete exam of visual system | 14 | 14 | $0 |
Insurance plans in this area (ZIP 91362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice, Emergency Medicine | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Physician Assistant | CA |
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