Rachel Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009824 Issued in NY

Practice address

539 Park Ave
New York, NY 10065-8167

Phone

(212) 758-0772

NPI assigned

Jul 4, 2023

Last updated

Jul 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

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

State University of New York - State College Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Cooper O.D., P.C.

  dba Cooper Panariello Eye Institute

  • Optometrist
  • Brooklyn, NY
  • NPI 1760245609
  Medicare reassignment Care Compare group NPD
• Jeffrey Cooper O.D., P.C.

  dba Central Eyes Optical

  • Optometrist
  • Hartsdale, NY
  • NPI 1982467551
  NPD
• Jeffrey Cooper OD PC

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1558419044
  NPD
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1043073927
  NPD (past)
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1124881057
  NPD (past)
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1538922463
  NPD (past)
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1649033531
  NPD (past)
• Maayan Keshet MD PC

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
  • NPI 1396164216
  NPD (past)

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1164109708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112283429",
            "country_code": "US",
            "telephone_number": "718-265-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kim
• Peter Hyunsung Kim, D.C.
• Peter S. Kim, M.D.
• Peter Yong-Kyu Kim, M.D.
• Phillip Kim, M.D., M.B.A.
• Rachel Kim
• Rachel Kyung Mee Kim
• Rachel Myungwha Kim, MD
• Randie Kim, MD, PHD
• Raymond Youngkeon Kim, MD

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.