DR. HANNA LYDIA KIM (O.D.) – Optometrist, NPI 1417235318
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for DR. HANNA LYDIA KIM (O.D.)
9040 JACKSON AVE
PCSL - OPTOMETRY
TACOMA, WA 984310001
Phone: (516) 375-4593
Type: Mailing
718 Story St
Boone, IA 500362834
Phone: (515) 432-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Alcon Vision LLC ($109).
Total Amount
$109
General + Research + Ownership
Payments
1
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $109 |
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: 2018-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181212002275 | I | Optometry | IA | 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 | 256 | 251 | $0 |
| 92250 | Photography of the retina | 172 | 167 | $0 |
| 92134 | Imaging of retina | 63 | 57 | $0 |
| 92012 | Established patient problem focused exam of visual system | 30 | 24 | $0 |
| 92133 | Imaging of optic nerve | 27 | 24 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Internal Medicine | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Family Practice | IA | |
| R H E U M A T O L O G Y | IA |
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