DONG HYUN KIM (OD) – Optometrist, NPI 1669929303

DONG HYUN KIM (OD) is a healthcare provider. based in Fair lawn, New Jersey. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 27OA00668800 (NJ). The NPI Number for DONG HYUN KIM (OD) is 1669929303

Main info

Male
10 Years Of Experience
Name
DONG HYUN KIM (OD)
NPI
1669929303
Phone
(201) 797-2747
Address
4-14 SADDLE RIVER RD
Enumeration Date
9 September 2016
Last Update Date
9 September 2016

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6002104528
Group Practice PAC ID
1153310180
Professional Enrollment ID
I20161014001806
Address ID
NJ074105632FA4XXXXRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DONG HYUN KIM (OD)

  • Saddle River Road, Fair Lawn, Bergen County, New Jersey, 07410, United States

    SUITE 202

    FAIR LAWN, NJ 074105632

    Phone: (201) 797-2747

    Fax: (201) 797-5809

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161014001806IOptometryNJTBD
I20240614000713IOptometryNYTBD

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
92014Established patient complete exam of visual system1,8371,291$0
92004New patient complete exam of visual system735733$0
92012Established patient problem focused exam of visual system463434$0
92250Photography of the retina426409$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes139134$0
View full utilization report →

Insurance plans in this area (ZIP 07410)

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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: 1153310180View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YPA
O P T O M E T R YOH
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm DONG HYUN KIM (OD)'s NPI?
Yes. DONG HYUN KIM (OD) is listed with NPI 1669929303 in the public NPI dataset.
Is DONG HYUN KIM (OD) listed as active for patients and plans?
The listing shows DONG HYUN KIM (OD) as active in the NPI system.
What healthcare role does DONG HYUN KIM (OD) hold?
Scheduling teams often label DONG HYUN KIM (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DONG HYUN KIM (OD)?
DONG HYUN KIM (OD)'s geographic hint is Fair Lawn, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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