DR. KATHY KIM (O.D.) – Optometrist, NPI 1962591396

DR. KATHY KIM (O.D.) is a healthcare provider. based in Lakewood, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3950 (WA). The NPI Number for DR. KATHY KIM (O.D.) is 1962591396

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHY KIM (O.D.)
NPI
1962591396
Phone
(253) 475-3937
Address
8520 STEILACOOM BLVD SW STE 200A
Enumeration Date
12 October 2006
Last Update Date
22 July 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2534753937
Graduation Year
2004 (22 years ago)
PAC ID
2769414044
Professional Enrollment ID
I20050907001045
Address ID
WA984984773LA8520XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. KATHY KIM (O.D.)

  • 8520 STEILACOOM BLVD SW STE 200A

    LAKEWOOD, WA 984984773

    Phone: (253) 475-3937

    Fax: (253) 201-2348

    Type: Mailing

  • 8520, Steilacoom Boulevard Southwest, Chambers Creek Terrance, Custer, Lakewood, Pierce County, Washington, 98498, United States

    STE 101

    LAKEWOOD, WA 984984773

    Phone: (253) 582-9089

    Fax: (253) 582-7247

    Type: Mailing

  • 6405, Steilacoom Boulevard Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States

    SUITE A

    LAKEWOOD, WA 984992668

    Phone: (253) 582-9089

    Fax: (253) 582-7247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,267.

Total Amount is formed as General ($2,267) + Research ($0) + Ownership ($0) = $2,267.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Alcon Vision LLC ($2,117).

Total Amount

$2,267

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2005-09-07

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
I20050907001045IOptometryWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7269$0
99213Established patient office or other outpatient visit, 20-29 minutes2723$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
92133Imaging of optic nerve1515$0
92134Imaging of retina1515$0
View full utilization report →

Insurance plans in this area (ZIP 98498)

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Reviews

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Frequently asked questions

Can I cross-check DR. KATHY KIM (O.D.) using NPI 1962591396?
NPI 1962591396 belongs to DR. KATHY KIM (O.D.); compare other details if you need extra assurance.
Is DR. KATHY KIM (O.D.) still an active registrant?
DR. KATHY KIM (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. KATHY KIM (O.D.)'s focus?
For DR. KATHY KIM (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KATHY KIM (O.D.) associated with Lakewood?
Public fields place DR. KATHY KIM (O.D.) around Lakewood, Washington. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KATHY KIM (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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