Douglas Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2784 Issued in CO

Practice address

7975 Fountain Mesa Rd
Fountain, CO 80817-1535

Phone

(719) 573-2020

Fax

(719) 301-4114

NPI assigned

Nov 1, 2006

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, CO2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abba Eye Care PCGroup PAC ID 1355231051, 26 clinicians

James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment Care Compare group NPD
• James Lee MD PC

  dba Lee Eye Institute

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1144427899
  Medicare reassignment Care Compare group NPD
• Mi Mi Optometric Center Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1518290303
  Medicare reassignment NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992919419
  NPD
• Mi Mi Optometric Center,Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1134201650
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1265510739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 FOUNTAIN MESA RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171535",
            "telephone_number": "719-573-2020",
            "fax_number": "719-301-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 FOUNTAIN MESA RD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171535",
            "telephone_number": "719-573-2020",
            "fax_number": "719-301-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2784",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA12426T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79138276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Kearbey
• Lindsay Kay Kearns, SLP
• Bailey Keller
• Isabella Kevorkian
• Jennifer Keys, FNP
• Haley Nicole Kirk, DPT
• Paige Alexis Knox
• Tyler James Kolfrat, DPT
• Christine Marie Kraus
• Alonna Ku, RDH

• Optometrist in Fountain, CO
• Providers in Fountain, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.