EALEEN KIM – Optometrist, NPI 1568815322

EALEEN KIM is a healthcare provider. based in Buford, Georgia. specializing in OPTOMETRY. They hold a License No. OPT002968 (GA). The NPI Number for EALEEN KIM is 1568815322

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EALEEN KIM
NPI
1568815322
Phone
Not provided
Address
3333 BUFORD DR STE 2002
Enumeration Date
18 July 2016
Last Update Date
29 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7705320292
Graduation Year
2016 (10 years ago)
PAC ID
6901130624
Group Practice PAC ID
5294717500
Professional Enrollment ID
I20190628000943
Address ID
GA305012437GA625XXNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

964 OPTOMETRY in GA

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Provider Addresses for EALEEN KIM

  • Buford Drive, Buford, Gwinnett County, Georgia, 30518, United States

    BUFORD, GA 305194935

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $982.

Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($280).

Total Amount

$982

General + Research + Ownership

Payments

40

Total payment records

General Amount

$982

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-28

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190628000943IOptometryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes432424$0
92250Photography of the retina360334$0
99213Established patient office or other outpatient visit, 20-29 minutes256202$0
92134Imaging of retina220213$0
99204New patient office or other outpatient visit, 45-59 minutes220220$0
View full utilization report →

Insurance plans in this area (ZIP 30519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294717500View full group profile
NameSpecialtyState
-MI
O P T O M E T R YGA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

Is EALEEN KIM listed with a National Provider Identifier?
Yes — EALEEN KIM has NPI 1568815322 on file in the registry.
Is EALEEN KIM still an active registrant?
EALEEN KIM carries an active NPI according to the public dataset.
What area of care is associated with EALEEN KIM?
EALEEN KIM's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is EALEEN KIM located near Buford?
EALEEN KIM currently maps to Buford, Georgia in this extract.
When was this NPI issued?
Enumeration for EALEEN KIM is noted as July 18, 2016 where the registry provides it.

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