MICHELLE KIM (OD) – Optometrist, NPI 1699510339

MICHELLE KIM (OD) is a healthcare provider. based in Redmond, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35713 (CA). The NPI Number for MICHELLE KIM (OD) is 1699510339

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE KIM (OD)
NPI
1699510339
Phone
(425) 898-9222
Address
23535 NE NOVELTY HILL RD STE D302
Enumeration Date
26 June 2024
Last Update Date
26 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064640472
Graduation Year
2024 (2 years ago)
PAC ID
6406392547
Group Practice PAC ID
3476927997
Professional Enrollment ID
I20240724003807
Address ID
WA981223609SE301XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for MICHELLE KIM (OD)

  • 23535 NE NOVELTY HILL RD STE D302

    REDMOND, WA 980535502

    Phone: (425) 898-9222

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($146).

Total Amount

$245

General + Research + Ownership

Payments

3

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-24

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
I20240724003807IOptometryWATBD

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 98053)

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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: 3476927997View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YUT
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

How do I look up MICHELLE KIM (OD) by NPI?
Use NPI 1699510339 when you need to reference MICHELLE KIM (OD) in forms, claims, or directories.
Is MICHELLE KIM (OD)'s NPI currently valid?
The extract we use shows MICHELLE KIM (OD) as active.
What does MICHELLE KIM (OD) treat or focus on?
Patients typically see MICHELLE KIM (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE KIM (OD)?
We surface Redmond, Washington for MICHELLE KIM (OD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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