Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184472938 Individual Practitioner Female Practitioner

Dr. Minyoung Kim , OD

Optometrist • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Minyoung Kim, OD is a certified Optometrist practicing in Jacksonville, FL. With approximately 2 years of clinical experience since graduating from Southern College Of Optometry in 2024, Dr. Kim delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Kim is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jacksonville, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -18.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
180 Specialists

Practicing in Jacksonville, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (2 Years) 2 Yrs
Jacksonville Specialty Average (20.6 Years) 20.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC6442

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

900 Nw 17th St

Miami, FL 331361134

Phone: 3053266000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 02, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Optometrist (License #OPC6442 in FL)

NPI Profile Active May 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2024

Registered at 900 NW 17TH ST, MIAMI, FL 331361134 (Tel: 3053266000)

📍
Updated Business Mailing Address May 07, 2024

Registered at 900 NW 17TH ST, MIAMI, FL 331361134

👤
Provider Name / Credentials Updated May 07, 2024

Recorded as MINYOUNG KIM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 07, 2024

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: 1184472938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2024
Last Update: September 02, 2025
Sole Proprietor: No

Mailing Address

900 Nw 17th St

Miami, FL 331361134

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.