Active NPI
Hannah Kim, OD
- Optometrist
- Clarksburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2049
- Practice address
- 22610 Newcut Rd Ste E4A
Clarksburg, MD 20871-5332 - Phone
- (301) 874-5777
- Fax
- (301) 874-5777
- NPI assigned
- Aug 14, 2007
- Last updated
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001656 | VA | |
| Optometrist | 152W00000X | TA2049 | MD | Primary |
Addresses
Primary practice location
22610 Newcut Rd Ste E4A
Clarksburg, MD 20871-5332
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200
5500 Buckeystown Pike
Suite 620
Frederick, MD 21703-9458
Phone (301) 663-4745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2049 | MD | MD | Optometrist |
| 0618001656 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Rockville Optometry, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
22610 Newcut Rd
Ste E4A
Clarksburg, MD 20871
Phone (301) 874-5777
6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999
5500 Buckeystown Pike
Ste 620
Frederick, MD 21703
Phone (301) 663-4745
7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666
80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600
18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600
14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050
8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 6
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1891987723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22610 NEWCUT RD STE E4A",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208715332",
"telephone_number": "301-874-5777",
"fax_number": "301-874-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANNAH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001656",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.