REBECCA KIM – Optometrist, NPI 1780368928

REBECCA KIM is a healthcare provider. based in Monroe township, New Jersey. specializing in OPTOMETRY. They hold a License No. 27OA00719800 (NJ). The NPI Number for REBECCA KIM is 1780368928

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA KIM
NPI
1780368928
Phone
(732) 947-6788
Address
12 BERMUDA DUNES DR
Enumeration Date
8 June 2023
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323884035
Graduation Year
2023 (3 years ago)
PAC ID
2365801693
Group Practice PAC ID
0446246995
Professional Enrollment ID
I20230705003176
Address ID
NJ070661264CL1255XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,050 OPTOMETRY in NJ

Provider Addresses for REBECCA KIM

  • 12 BERMUDA DUNES DR

    MONROE TOWNSHIP, NJ 088315125

    Phone: (732) 947-6788

    Type: Mailing

  • 475 NASSAU PARK BLVD STE C

    PRINCETON, NJ 085405936

    Phone: (609) 243-8902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $784.

Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($707).

Total Amount

$784

General + Research + Ownership

Payments

31

Total payment records

General Amount

$784

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

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$707
CooperVision Inc.$77
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: 2023-07-05

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
I20230705003176IOptometryNJTBD

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 08831)

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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: 0446246995View full group profile
NameSpecialtyState
O P T O M E T R YNY
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YNJ
O P T O M E T R YTX
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
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

What number should I use to identify REBECCA KIM for billing?
Administrative and clinical systems typically use NPI 1780368928 for REBECCA KIM.
Is REBECCA KIM currently accepting referrals based on NPI status?
Registry metadata lists REBECCA KIM as active.
Which specialty label fits REBECCA KIM?
NPPES ties REBECCA KIM to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to REBECCA KIM?
The directory associates REBECCA KIM with Monroe Township, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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