Raychel Lyn Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60861947 Issued in WA

Practice address

3500 S Meridian Ste 926
Puyallup, WA 98373-3722

Phone

(253) 391-2389

NPI assigned

Jun 27, 2018

Last updated

Dec 2, 2020By 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 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raychel.kim@70976835354628.direct.elationemr.com

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.

• Kyle Sexton, O.D., LLC

  • Optometrist
  • Puyallup, WA
  • NPI 1972778009
  Medicare reassignment NPD
• Calvin Alonzo, O.D., Inc

  dba The Filipino Community Vision Center

  • Optometrist
  • Waipahu, HI
  • NPI 1821264367
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730674169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S MERIDIAN STE 926",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733722",
            "telephone_number": "253-391-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S MERIDIAN STE 926",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733722",
            "telephone_number": "253-391-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 Kaleilani St",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967822041",
            "country_code": "US",
            "telephone_number": "808-341-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Kamehameha Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "96782",
            "country_code": "US",
            "telephone_number": "808-456-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "RAYCHEL",
        "middle_name": "LYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD894",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60861947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiyoung Kim, LSWAIC
• June Kim, MD
• Mark S. Kim, MD
• Minwoo Kim, DDS
• Myung Sook S Kim II
• Rebecca Danbe Kim, PHARMD
• Sarah Kim
• Sun B Kim, PHARMACIST
• Tae Hoon Kim
• Kate Kimani, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.