Individual provider Active NPI

Sung Youn Kim, O.D.

  • Optometrist
  • Niles, IL
National Provider Identifier
1275623274
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009854 Issued in IL
Practice address
8500 W Golf Rd
Niles, IL 60714-1154
Phone
(224) 789-4254
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009854 IL Primary

Addresses

Primary practice location

8500 W Golf Rd
Niles, IL 60714-1154

Mailing address

7921 Wilson Ter
Morton Grove, IL 60053-1078
Phone (312) 375-1525

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080912000023 IL Practitioner - Optometry 4789750944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Eye and Laser Center LTDGroup PAC ID 3274888706, 5 clinicians

Practice addresses (Care Compare)

4301 N Mulford Rd
Loves Park, IL 61111-6955
Phone (815) 227-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Eye & Laser Center LTD. Optometrist CurrentSince Jun 18, 2025 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Feb 16, 2022 Accepting new patients
Plano Optical Inc Optometrist Current Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

611 Meacham Rd
Elk Grove Village, IL 60007
Phone (847) 584-9900

611 Milwaukee Ave
Ste 155
Glenview, IL 60025
Phone (847) 904-2150

4301 N Mulford Rd
Loves Park, IL 61111
Phone (815) 227-0077

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1275623274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 WILSON TER",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531078",
            "telephone_number": "312-375-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141154",
            "telephone_number": "224-789-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "YOUN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.