Darran Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

61079695 Issued in WA

Practice address

10101 19TH Ave SE Ste B
Everett, WA 98208-4255

Phone

(425) 338-5400

Fax

(425) 338-5402

NPI assigned

Mar 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darran Kim OD PLLCGroup PAC ID 6507210572, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Darran Kim O.D. PLLC

  • Optometrist
  • Everett, WA
  • NPI 1033891304
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Stephen Nevett and Associates, P.C.

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1619287240

  Optometrist

  Medicare reassignment NPD
• Michael Dennis Erickson, O.D.

  • Optometrist
  • Issaquah, WA
  • NPI 1093707556
  Medicare reassignment
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1629570908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 NE 79TH ST APT 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522474",
            "telephone_number": "808-283-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 19TH AVE SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084255",
            "telephone_number": "425-338-5400",
            "fax_number": "425-338-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335757",
            "country_code": "US",
            "telephone_number": "360-571-3084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Kiopa'a Street #102",
            "address_purpose": "LOCATION",
            "city": "Pukalani",
            "state": "HI",
            "postal_code": "96768",
            "country_code": "US",
            "telephone_number": "808-214-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DARRAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-911",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61079695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Kim, MD
• Caleb Youngho Kim
• Charles Junghyun Kim, DDS
• Dae Ho Kim, DDS
• Daniel Byeongheui Kim, MD
• David Eugene Kim, DPT
• Duk Soo Kim, DO
• Edwin Gi Lim Kim, DMD
• Hanna Kim
• Heather Marie Kim, PHARMD

• Optometrist in Everett, WA
• Providers in Everett, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.