Individual provider Active NPI

Ye Ji Kim, OD

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1306415385
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003321 Issued in GA
Practice address
2061 Beverly Rd
Gainesville, GA 30501-2034
Phone
(770) 532-4444
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003321 GA Primary

Addresses

Primary practice location

2061 Beverly Rd
Gainesville, GA 30501-2034

Mailing address

2601 Beverly Rd
Gainesville, GA 30501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220119000475 GA Practitioner - Optometry 7012309321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye Associates, P.C.Group PAC ID 9830187152, 8 clinicians

Practice addresses (Care Compare)

1235 Friendship Rd
Suite 120
Braselton, GA 30517-5624
Phone (770) 995-5408

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30046-4979
Phone (770) 995-5408

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003321GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Optometrist CurrentSince Sep 30, 2021 Accepting new patients
Georgia Eye Associates, P.C. Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Eugene B. Gabianelli, MD & Assoc. LLC Current Accepting new patients
Gainesville Eye Associates LLC Optometrist CurrentSince Sep 30, 2021 Accepting new patients
Urology of Greater Atlanta LLC Past Accepting new patients
Ou Health Partners, Inc Past Accepting new patients

Locations

1235 Friendship Rd
Ste 120
Braselton, GA 30517
Phone (770) 995-5408

2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116

771 Old Norcross Rd
Ste 150
Lawrenceville, GA 30046
Phone (770) 995-5408

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: ykim@espgep.intellechartdirect.net
  • Direct secure messaging: ykim@georgiaeyeassociates.intellechartdirect.net

Organizations & group practices 6

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1306415385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YE JI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.