Allen Ji Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3509ATI Issued in OR

Practice address

3978 N Williams Ave
Portland, OR 97227-1445

Phone

(503) 493-7070

NPI assigned

Apr 19, 2012

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

Medicare fee-for-service enrollment

Enrolled in OR

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgeport Eye Physicians LLCGroup PAC ID 4385735430, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.82 of 100Reported as group

Quality

64.08

Improvement activities

40

Cost

80.61

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.

• Bridgeport Eye Physicians, LLC

  • Ophthalmology Physician
  • Sherwood, OR
  • NPI 1215135066

  Optometrist

  Medicare reassignment Care Compare group NPD
• Myoptic Optometry, LLC

  • Point of Service
  • Portland, OR
  • NPI 1235325333
  Medicare reassignment NPD
• Nvision Operative Management LLC

  • Ambulatory Surgical Clinic/Center
  • Tigard, OR
  • NPI 1669239786
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1821355587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3978 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271445",
            "telephone_number": "503-493-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271445",
            "telephone_number": "503-493-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALLEN",
        "middle_name": "JI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3509ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Knight, Macom, Lac
• Kim Lovelace, LMT
• Zoe Kim-Maskell, MSW, MPH, CSWA
• Lynne Kyoung Kim-Yang, ARNP, DNP
• Adam Kim, MS/EDS, LPC, NCC
• Andrew Inbae Kim, N.D., L.AC.
• Betty Francis Huang Kim, MD
• Bronson Kim
• Byeong Kim, DDS
• Chol Hye Kim

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.