Yeseul Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003548 Issued in PA

Practice address

5125 Jonestown Rd Ste 505
Harrisburg, PA 17112-4927

Phone

(717) 441-0890

NPI assigned

Jul 5, 2019

Last updated

Jul 5, 2019By the provider in NPPES

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 PA

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

Pennsylvania College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Noon Eyecare LLC

  • Optometrist
  • Fort Washington, PA
  • NPI 1932976693
  Medicare reassignment NPD Authorized official
• Mudgil Eye Associates PC

  • Ophthalmology Physician
  • West Chester, PA
  • NPI 1811008972
  Medicare reassignment NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Harrisburg, PA
  • NPI 1346272176
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1427610807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 JONESTOWN RD SUITE 505",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 JONESTOWN RD STE 505",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124927",
            "telephone_number": "717-441-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 Jonestown Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171124927",
            "country_code": "US",
            "telephone_number": "717-441-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YESEUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Kilgore, M.S
• Chanhee Jennifer Kim, MD
• Edward Kim, MD
• Kelly Marie Kim, PHARM.D.
• Sehee V Kim, DO
• Kind Mind Counseling
• Holly Kindig
• Nicole L Kindler, PA-C
• Kindness Services LLC
• Kindquest Supports LLC

• Optometrist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.