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Deactivated NPI 1538130166 Deactivated / Inactive NPI Male Practitioner

Dr. Wonsuck Kim , DO

Ophthalmology • Florence, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wonsuck Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date March 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Wonsuck Kim, DO was a registered Ophthalmology practicing in Florence, AL. Throughout an active medical career spanning 15 years, Dr. Kim provided care at the practice location at 646 COX CREEK PKWY until profile deactivation on 2021-03-08.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, established patient complete exam of visual system, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

646 Cox Creek Pkwy
Ste A

Florence, AL 356301105

Telephone 2567601771
Fax 2567609149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Florence, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 32.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Florence, AL (257 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
121 26 $394.04 $130.66
92014 Established patient complete exam of visual system
71 71 $139.45 $118.60
92012 Established patient problem focused exam of visual system
45 45 $110.00 $83.34
92136 Measurement of corneal curvature and depth of eye
33 31 $128.95 $49.05
92133 Imaging of optic nerve
18 18 $66.50 $35.14
92004 New patient complete exam of visual system
16 16 $170.00 $142.66

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AL DO-305

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1457322877

Doctor of Medicine (M.D.)

NPI 1669458725

Doctor of Medicine (M.D.)

NPI 1982675583

Doctor of Medicine (M.D.)

NPI 1992776397

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 08, 2021

Record deactivated on March 08, 2021

NPI Profile Active March 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2012

Registered at 646 COX CREEK PKWY, STE A, FLORENCE, AL 356301105 (Tel: 2567601771)

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Updated Business Mailing Address March 19, 2012

Registered at 646 COX CREEK PKWY, STE A, FLORENCE, AL 356301105 (Tel: 2567601771)

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Provider Name / Credentials Updated March 19, 2012

Recorded as WONSUCK KIM, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2012

Ophthalmology (License #DO-305 in AL)

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Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538130166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: March 19, 2012
Deactivation Date: March 08, 2021

Mailing Address

646 Cox Creek Pkwy, Ste A

Florence, AL 356301105

Phone: 2567601771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.