| Justin M Kim, OD | |
|
130 Norris Ln, Boerne, TX 78006-2893 | |
| (830) 249-3898 | |
| (830) 249-9228 |
| Full Name | Justin M Kim |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 130 Norris Ln, Boerne, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194718114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6310T (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aeg Texas Professional Pllc | 4486985678 | 202 |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Provider Name | Trinity Vision Center Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861694549 PECOS PAC ID: 3274762240 Enrollment ID: O20200709003343 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin M Kim, OD 130 Norris Ln, Boerne, TX 78006-2893 Ph: (830) 249-3898 | Justin M Kim, OD 130 Norris Ln, Boerne, TX 78006-2893 Ph: (830) 249-3898 |
Susan Ly Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 E Bandera Rd Ste 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Boerne Eyes On Main Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1365 S Main St, Boerne, TX 78006 Phone: 210-392-1727 | |
Aeg Texas Professional Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 Rosewood Ave, Boerne, TX 78006 Phone: 830-249-8090 | |
Dr. Clyde Singleton Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27615 Autumn Terrace, Boerne, TX 78006 Phone: 210-732-3200 | |
Stephanie N. Kai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 124 E. Bandera Road, Suite 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Dr. Jennifer L Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 E Bandera Rd, Ste 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 866-897-9855 |