Dr Shelley S Kim, OD - Medicare Optometrist in Des Plaines, IL

Dr Shelley S Kim, OD is a medicare enrolled "Optometrist" provider in Des Plaines, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Myeyedr Optometry Of Illinois Llc and her current practice location is 865 Elmhurst Rd, Des Plaines, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 437-1005.

Dr Shelley S Kim is licensed to practice in Illinois (license number 046-0009187) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396752846.

Contact Information

Dr Shelley S Kim, OD
865 Elmhurst Rd,
Des Plaines, IL 60016-5605
(847) 437-1005
(847) 437-0755

Map and Direction




Healthcare Provider's Profile

Full NameDr Shelley S Kim
GenderFemale
SpecialityOptometry
Experience25 Years
Location865 Elmhurst Rd, Des Plaines, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shelley S Kim attended and graduated from Illinois College Of Optometry At Chicago in 1999
  NPI Data:
  • NPI Number: 1396752846
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 11/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901858851
  • Enrollment ID: I20050221000349

Medical Identifiers

Medical identifiers for Dr Shelley S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396752846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046-0009187 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Myeyedr Optometry Of Illinois Llc357786996546

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. Dr Shelley S Kim allows following entities to bill medicare on her behalf.
Provider NameMyeyedr Optometry Of Illinois Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245695378
PECOS PAC ID: 3577869965
Enrollment ID: O20160310001870

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. Dr Shelley S 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
Dr Shelley S Kim, OD
1950 Old Gallows Rd Ste 520,
Vienna, VA 22182-3970

Ph: (703) 847-8899
Dr Shelley S Kim, OD
865 Elmhurst Rd,
Des Plaines, IL 60016-5605

Ph: (847) 437-1005

Reviews and Comments


Optometrist in Des Plaines, IL

Dr. Forum Purnendu Dave, O.D.
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Dr. Gabrielle Monica Szwajca, O.D
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Phone: 847-890-3172    
Hemali H Dave, O.D.
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Phone: 847-824-3127    
Dr. Dana Hobi, OD
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Medicare: Medicare Enrolled
Practice Location: 782 W Oakton St Ste A, Des Plaines, IL 60018
Phone: 847-977-9033    

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.