Terry Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2585 Issued in MD

Practice address

13505 Connecticut Ave
Aspen Hill, MD 20906-2912

Phone

(301) 438-0555

Fax

(301) 438-0556

NPI assigned

Jun 8, 2017

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 DC

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

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

• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Clinton, MD
  • NPI 1497124796

  DC

  Medicare reassignment NPD
• Rockville Optometry, LLC

  dba My Eye Dr.

  • Optometrist
  • Rockville, MD
  • NPI 1548325798

  DC

  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Silver Spring, MD
  • NPI 1023663820
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Fairfax, VA
  • NPI 1093459182

  Optometrist

  NPD
• Daniel Poth, O.D. and Associates, P.C.

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Vienna, VA
  • NPI 1154354041
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1265961627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 CONNECTICUT AVE",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062912",
            "telephone_number": "301-438-0555",
            "fax_number": "301-438-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TERRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon B Drummond, PA
• Family & Implant Dentistry of Maryland, LLC
• For Eyes Optical of PA (For Eyes)
• Silvia Leydi Fuentes Vasquez, LCSW-C
• Darryl Nash Jones, MPT
• Jessica L Liu-Kebaili, LMT
• Melissa Mandell
• Charles Mensah, MD
• Mobile Medical Care, Inc.
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)

• Optometrist in Aspen Hill, MD
• Providers in Aspen Hill, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.