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

Individual provider Optometrist · NPI 1497432058

Michelle Kim, OD is an Optometry in Philadelphia, Pennsylvania. Graduated from State University of New York - State College Optometry in 2023, 3 years ago. Practices with City Line Eye Care LLC, a 4-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
3
Trained at
State University of New York - State College Optometry
Licensed in
NY, PA
In the registry since
2023
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

180 W Girard Ave Ste 5
Philadelphia, PA 19123-1660
Phone: (215) 554-6222
Fax: (215) 554-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 49 E City Ave # 10, Bala Cynwyd, PA 19004-2421 — (610) 206-3866
  • 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 — (215) 866-1742
  • 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 — (267) 360-6944
  • 612 Washington Ave Ste 3, Philadelphia, PA 19147-4836 — (215) 599-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV009823-01 (NY)
Optometrist Taxonomy 152W00000X · Licence OEG004137 (PA)

Record details

NPI number1497432058
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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 2023 (3 years in practice)
Group practice City Line Eye Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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