Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Giesoo Kim, OD

Individual provider Optometrist · NPI 1578132254

Alex Giesoo Kim, OD is an Optometry in Bellevue, Washington. Graduated from State University of New York - State College Optometry in 2021, 5 years ago. Practices with Evergreen Eye Center PLLC, a 33-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
5
Trained at
State University of New York - State College Optometry
Licensed in
PA, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3025 112th Ave NE Ste 200
Bellevue, WA 98004-8002
Phone: (425) 451-2020
Fax: (425) 450-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence OD61266420 (WA)
Optometrist Taxonomy 152W00000X · Licence OEG003782 (PA)

Record details

NPI number1578132254
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Evergreen Eye Center Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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