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

Tiffany Kim, OD

Individual provider Optometrist · NPI 1467704791

Tiffany Kim, OD is an Optometry in Portland, Oregon. Graduated from Pacific University - College of Optometry in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2012
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

10480 SW Eastridge St Apt 37
Portland, OR 97225-5042
Phone: (408) 805-0354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3607ATI (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467704791
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESSeptember 23, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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