Byung Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002542 Issued in PA

Practice address

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Phone

(215) 276-6000

Fax

(215) 276-1329

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: byung.kim.p1@direct.salusuhealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Drexel University

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095

  PA

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment Care Compare group NPD
• Drexel University

  • Optometrist
  • Philadelphia, PA
  • NPI 1336160027
  Medicare reassignment NPD
• Gretchen J Brewer, OD & Associates, Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1386731727
  Medicare reassignment NPD
• Visionworks, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1063579837

  PA

  Medicare reassignment
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826

  PA

  Medicare reassignment
• Myeyedr Optometry of Pennsylvania LLC

  • Optometrist
  • Shrewsbury, PA
  • NPI 1376088526
  Care Compare group
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Oxford, PA
  • NPI 1245809599
  Care Compare group
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Beaver Falls, PA
  • NPI 1306315452
  Care Compare group
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Upper Chichester, PA
  • NPI 1417502220
  Care Compare group
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Greencastle, PA
  • NPI 1457709073
  Care Compare group
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Latrobe, PA
  • NPI 1457991846
  Care Compare group

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1790072015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BYUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "12288571",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bong-Soo Kim, M.D.
• Brandon Kim, MD
• Brandon Ji-Won Kim
• Brian Kim
• Byounggon Kim
• Cadence A Kim, MD
• Candice Kim
• Carl Dongseong Kim, MD
• Caroline Kim
• Caroline S. Kim, MD

• All providers in Philadelphia, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.