SUNG YOUN KIM (O.D.) – Optometrist, NPI 1275623274

SUNG YOUN KIM (O.D.) is a healthcare provider. based in Niles, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046009854 (IL). The NPI Number for SUNG YOUN KIM (O.D.) is 1275623274

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
SUNG YOUN KIM (O.D.)
NPI
1275623274
Phone
(224) 789-4254
Address
8500 W GOLF RD
Enumeration Date
13 October 2006
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8152270077
Graduation Year
2006 (20 years ago)
PAC ID
4789750944
Group Practice PAC ID
3274888706
Professional Enrollment ID
I20080912000023
Address ID
IL611116955LO4301XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for SUNG YOUN KIM (O.D.)

  • Golf Road, Skokie, Niles Township, Cook County, Illinois, 60025, United States

    NILES, IL 607141154

    Phone: (224) 789-4254

    Type: Location

  • 7921, Wilson Terrace, Morton Grove, Maine Township, Cook County, Illinois, 60053, United States

    MORTON GROVE, IL 600531078

    Phone: (312) 375-1525

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: CooperVision Inc. ($139).

Total Amount

$277

General + Research + Ownership

Payments

11

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2008-09-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080912000023IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60714)

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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: 3274888706View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YIN
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I cross-check SUNG YOUN KIM (O.D.) using NPI 1275623274?
NPI 1275623274 belongs to SUNG YOUN KIM (O.D.); compare other details if you need extra assurance.
Active or inactive — what applies to SUNG YOUN KIM (O.D.)?
You should see SUNG YOUN KIM (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is SUNG YOUN KIM (O.D.)?
SUNG YOUN KIM (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is SUNG YOUN KIM (O.D.) associated with Niles?
Public fields place SUNG YOUN KIM (O.D.) around Niles, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for SUNG YOUN KIM (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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