Heeyoon Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011257 Issued in IL

Practice address

5630 Dempster St
Morton Grove, IL 60053-3110

Phone

(847) 581-1891

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H Kim OD and Associates PLLCGroup PAC ID 7012307820, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H. Kim, OD & Associates, PLLC

  • Optometrist
  • Skokie, IL
  • NPI 1548935752
  Medicare reassignment Care Compare group NPD Authorized official
• Village Eye Care LTD

  • Optometrist
  • Chicago, IL
  • NPI 1477601664
  Medicare reassignment NPD
• Divine Eye Care Inc.

  • Optometrist
  • Morton Grove, IL
  • NPI 1932407012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1053887042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PRESTWICK LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906233",
            "telephone_number": "224-392-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533110",
            "telephone_number": "847-581-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEEYOON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Khan, OD
• Safi M Khan, PHARMD
• Shehwar Khan, MD
• Masum Kidiwala
• Kifah Integrative Health by Aisha
• Hyunsook Kim, RN, BSN
• Elvira Kaszuba Kimmel, MED
• Gail Kimura, L.AC.
• Katherine C King
• Elizabeth Kirkpatrick, M.S. CCC-SLP

• Optometrist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.