Allen Ji Kim, OD - Medicare Optometrist in Portland, OR

Allen Ji Kim, OD is a medicare enrolled "Optometrist" provider in Portland, Oregon. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Bridgeport Eye Physicians, Llc and his current practice location is 3978 N Williams Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 493-7070.

Allen Ji Kim is licensed to practice in Oregon (license number 3509ATI) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821355587.

Contact Information

Allen Ji Kim, OD
3978 N Williams Ave,
Portland, OR 97227-1445
(503) 493-7070
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAllen Ji Kim
GenderMale
SpecialityOptometry
Experience11 Years
Location3978 N Williams Ave, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Allen Ji Kim graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1821355587
  • Provider Enumeration Date: 04/19/2012
  • Last Update Date: 06/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315180023
  • Enrollment ID: I20130828000539

Medical Identifiers

Medical identifiers for Allen Ji Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821355587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3509ATI (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bridgeport Eye Physicians, Llc43857354306

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allen Ji Kim allows following entities to bill medicare on his behalf.
Provider NamePacific University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306954011
PECOS PAC ID: 0345144705
Enrollment ID: O20031126000350
Provider NameBridgeport Eye Physicians, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215135066
PECOS PAC ID: 4385735430
Enrollment ID: O20070803000570
Provider NameMyoptic Optometry, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235325333
PECOS PAC ID: 4183719701
Enrollment ID: O20071011000682

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allen Ji Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allen Ji Kim, OD
3978 N Williams Ave,
Portland, OR 97227-1445

Ph: (503) 493-7070
Allen Ji Kim, OD
3978 N Williams Ave,
Portland, OR 97227-1445

Ph: (503) 493-7070

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.