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

Dr. Shane K. Kim, MD

Individual provider Ophthalmology Physician · NPI 1801974027

Dr. Shane K. Kim, MD is an Ophthalmology in Portland, Oregon. Graduated from New York University School of Medicine in 2001, 25 years ago. Practices with Eye Health Northwest PC, a 70-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Trained at
New York University School of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10819 SE Stark St Ste 200
Portland, OR 97216-3161
Phone: (503) 255-2291
Fax: (503) 252-1797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD27296 (OR)

Record details

NPI number1801974027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 20, 2021
Certification dateFebruary 20, 2021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Eye Health Northwest Pc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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