TIFFANY KIM (O.D.) – Optometrist, NPI 1467704791
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
Provider Addresses for TIFFANY KIM (O.D.)
10480 SW EASTRIDGE ST APT 37
PORTLAND, OR 972255042
Phone: (408) 805-0354
Type: Location
25699 SW ARGYLE AVE A
LENZA EYE CENTER
WILSONVILLE, OR 970705798
Phone: (503) 833-2662
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $700.
Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($397).
Total Amount
$700
General + Research + Ownership
Payments
32
Total payment records
General Amount
$700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-03-03
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 |
|---|---|---|---|---|
| I20170303001948 | I | Optometry | WA | 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 | 120 | 120 | $0 |
| 92250 | Photography of the retina | 118 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 43 | $0 |
| 92004 | New patient complete exam of visual system | 67 | 67 | $0 |
| 68761 | Closure of tear duct opening using plug | 47 | 12 | $0 |
Insurance plans in this area (ZIP 97225)
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