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

Justin M Kim, OD

Individual provider Optometrist · NPI 1194718114

Justin M Kim, OD is an Optometry in Boerne, Texas. Graduated from Southern California College of Optometry in 2002, 24 years ago. Practices with Aeg Texas Professional PLLC, a 228-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Trained at
Southern California College of Optometry
Licensed in
TX
In the registry since
2005
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

130 Norris Ln
Boerne, TX 78006-2893
Phone: (830) 249-3898
Fax: (830) 249-9228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6310T (TX)

Record details

NPI number1194718114
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 24, 2005
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2002 (24 years in practice)
Group practice Aeg Texas Professional Pllc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boerne