Alicia Kim

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002972 Issued in PA

Practice address

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Phone

(215) 276-6173

Fax

(215) 276-1329

NPI assigned

Jul 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, MD2 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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalyani Eye Care LLCGroup PAC ID 2961625819, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.7 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Kalyani Eye Care, LLC

  • Ophthalmology Physician
  • Hanover, MD
  • NPI 1164832473
  Medicare reassignment Care Compare group NPD
• Lake Ridge Vision Center PLLC

  • Optometrist
  • Woodbridge, VA
  • NPI 1285807404
  Medicare reassignment NPD
• Glaucoma Consultants of Washington, Inc.

  • Ophthalmology Physician
  • Herndon, VA
  • NPI 1962671818
  Medicare reassignment
• Sightrite Medical VA PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1669095634
  Medicare reassignment
• Glaucoma Consultants of Washington, Inc.

  • Ophthalmology Physician
  • Herndon, VA
  • NPI 1073782777
  NPD
• Kalyani Eye Care, LLC

  • Optometrist
  • Hanover, MD
  • NPI 1578367736
  NPD
• Lake Ridge Vision Center, Inc

  • Optometrist
  • Woodbridge, VA
  • NPI 1508953431
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1922415306",
    "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": "215-276-6173",
            "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": "215-276-6173",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "358813",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim-Park Funeral Home and Cremation Services Inc
• Adrienne Suemin Kim, DMD
• Agnes Hyoju Kim, MD
• Albert H Kim, DMD
• Alice Kim
• Alison Kim
• Alyson Kim, MD
• Alyssa Nakyoung Kim, R.PH
• Amy Kim, M.D.
• Andrew Kim, M.D.

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.