NPPES file of Aug 9, 2026

Ethan Yooseok Kim, OD

Optometrist · Bayside, NY

Ethan Yooseok Kim, OD is an optometrist with a practice address in Bayside, New York, and NPI 1124805684, issued on Sep 8, 2023. Check the license (New York RT009892, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124805684
Name
Ethan Yooseok Kim
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License number
RT009892 NY
Self-reported in NPPES; status is on the state search
Practice location
3925 Bell Blvd, Bayside, NY 11361
Phone
(718) 279-2020
Enumerated
Sep 8, 2023
Record last updated
Sep 8, 2023
Medicare enrollment
Enrolled (PECOS I20250604001456); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 3,535 in New York → Look up another NPI →

Also registered at 3925 Bell Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Crystal Han, O.D.Optometrist1760897235
  2. Joseph HanOptometrist1649834474
  3. Kevin Leung, O.D.Optometrist1356014377

Verify Ethan Yooseok Kim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license RT009892    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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Industry payments in 2024: $259.92

5 payments; by number, the most common kind was food and beverage; the largest payer was Sun Pharmaceutical Industries Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ethan Kim$259.92
  2. Specialty average$769.99

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Eye And I Eyecare LLCBayside, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ethan Yooseok Kim among 3,535 optometrist records in New York

Ethan Yooseok Kim, OD is one of 3,535 optometrist records with a practice address in New York. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 89% of them.

  • NPI issued2023 · 89% of these records are older, 8% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 47% of these records are
  • Graduated2023 · median 2008 among the 1,667 with a school on file
  • Record last updated2023 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in New York

There are 3,535 optometrist records in New York.

All 3,535 in New York → Every provider in Bayside → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Norman Chan, ODBayside, NY 113611669028304
  2. Elyse Decker, O.D.Bayside, NY 113611992753206
  3. Crystal Han, O.D.Bayside, NY 113611760897235
  4. Joseph HanBayside, NY 113611649834474
  5. Kevin Leung, O.D.Bayside, NY 113611356014377
  6. Kerinna McDonald, O.D.Bayside, NY 113611194125468
  7. Sarah TajBayside, NY 113611871485276
  8. Myongwoon Yang, O.D.Bayside, NY 113611811174709

Common questions

What is Ethan Yooseok Kim, OD's NPI number?

Ethan Yooseok Kim, OD's National Provider Identifier (NPI) is 1124805684, issued on Sep 8, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Yooseok Kim, OD located?

The NPPES record lists a practice address at 3925 Bell Blvd, Bayside, NY, 11361. Phone: (718) 279-2020. Providers update this record themselves, so call before visiting.

How can I verify Ethan Yooseok Kim, OD's license?

NPPES lists New York license number RT009892, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.