Individual provider Active NPI

Eunice Eunjin Kim, OD

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1831674902
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5584 Issued in FL
Practice address
886 W FL-436
Altamonte Springs, FL 32714
Phone
(407) 682-2160
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002685 VA
Optometrist 152W00000X OPT-002683 AZ
Optometrist 152W00000X OPT.007293 OH
Optometrist 152W00000X 1984-930AT LA
Optometrist 152W00000X OEG003986 PA
Optometrist 152W00000X 5584 FL Primary

Addresses

Primary practice location

886 W FL-436
Altamonte Springs, FL 32714

Mailing address

5112 Old Cheney Hwy
Orlando, FL 32807-1886

Other practice location 1

2525 Far Hills Ave
Oakwood, OH 45419-1505
Phone (937) 298-0550

Other names 1

  • Eunice Eunjin Pyon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, AZ, LA, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190329000378 FL Practitioner - Optometry 8123368180 Reassigns benefits to 1 organization
I20260519003503 OH Practitioner - Optometry 8123368180 Reassigns benefits to 1 organization
I20260528004699 AZ Practitioner - Optometry 8123368180 Reassigns benefits to 1 organization
I20260618003097 LA Practitioner - Optometry 8123368180 Reassigns benefits to 1 organization
I20260622000772 PA Practitioner - Optometry 8123368180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, shared by 8 NPIs, 141 clinicians

Practice addresses (Care Compare)

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

1304 Baltimore St
Hanover, PA 17331-4407
Phone (717) 632-8600

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

1611 State Rd 60
Lake Wales, FL 33853-4309
Phone (863) 676-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002683AZMDOptometrist
5584FLMDOptometrist
1984-930ATLAMDOptometrist
OPT.007293OHMDOptometrist
OEG003986PAMDOptometrist
0618002685VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanmor Vision PA Optometrist CurrentSince Feb 23, 2019 Accepting new patients

Locations

4101 Hunters Park Ln
Ste 400
Orlando, FL 32837
Phone (407) 855-6132

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1831674902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 OLD CHENEY HWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 W FL-436",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-682-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "OH",
            "postal_code": "454191505",
            "country_code": "US",
            "telephone_number": "937-298-0550",
            "fax_number": "937-298-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUNICE",
        "middle_name": "EUNJIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002685",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002683",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007293",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1984-930AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003986",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNICE",
            "last_name": "PYON",
            "middle_name": "EUNJIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.