Agnes Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8558TG Issued in TX

Practice address

1221 FM 1187 E
Crowley, TX 76036-4370

Phone

(817) 782-9972

NPI assigned

Aug 15, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Major Optical Inc

  • Optician
  • El Paso, TX
  • NPI 1013426964
  NPD (past)
• National Vision, Inc.

  • Optician
  • Fort Worth, TX
  • NPI 1902203805
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1871992719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E BLUFF ST APT 6105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022368",
            "telephone_number": "318-775-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FM 1187 E",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364370",
            "telephone_number": "817-782-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4811 Overton Ridge Blvd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761321973",
            "country_code": "US",
            "telephone_number": "817-423-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Lee Trevino Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799365169",
            "country_code": "US",
            "telephone_number": "915-599-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7216 Glenview Dr",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808612",
            "country_code": "US",
            "telephone_number": "817-616-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 S Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760154159",
            "country_code": "US",
            "telephone_number": "817-472-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8558TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Angela Pascual Kammerer, PHARMD.
• Donna Kaufman
• Shannon Dunn Kelley, P.T.
• Hyunjoo Kil, RPH
• Kim Eye Center, PLLC
• Marsha L Kinsey, MEDICAL MASSAGE
• Agneta Wavinya Kioko IV
• Kenneth Clayton Kirkland, CRNA
• George Krasowsky, D.C.
• Kroger Texas L P

• Optometrist in Crowley, TX
• Providers in Crowley, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.