Individual provider Active NPI

Yunah Kim, O.D.

  • Optometrist
  • Montgomeryville, PA
National Provider Identifier
1992104764
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002946 Issued in PA
Practice address
752 Horsham Rd
Montgomeryville, PA 18936-9617
Phone
(215) 368-1600
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002946 PA Primary

Addresses

Primary practice location

752 Horsham Rd
Montgomeryville, PA 18936-9617

Mailing address

316 Andale Green Dr
Lansdale, PA 19446-3848
Phone (215) 570-0037

Other practice location 1

401 Bunker Hill Rd
Harleysville, PA 19438-3908
Phone (215) 570-0037

Other identifiers 1

IdentifierTypeStateIssuer
103333891MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180612000033 PA Practitioner - Optometry 2961757158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002946PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kim Eye Care LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients

Locations

100 Veterans Way
#1103B
Warminster, PA 18974
Phone (215) 347-1965

Organizations & group practices 1

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992104764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ANDALE GREEN DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463848",
            "telephone_number": "215-570-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 HORSHAM RD",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369617",
            "telephone_number": "215-368-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Bunker Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194383908",
            "country_code": "US",
            "telephone_number": "215-570-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUNAH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103333891",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.