Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104483833 Individual Practitioner Female Practitioner

Dr. Haley Kim , OD

Optometrist • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Haley Kim, OD is a certified Optometrist practicing in Portland, OR. With approximately 6 years of clinical experience since graduating from Pacific University - College Of Optometry in 2020, Dr. Kim delivers high-quality medical care to the local community at 4880 NE 104TH AVE.

Dr. Kim accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4880 Ne 104th Ave

Portland, OR 972203348

Telephone 5034328452
Fax 5034328402
Associated Practice Facility / Clinic
🏢 Parkrose Vision, Llc Facility NPI 1144847260

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Portland, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.1 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Portland, OR (975 Statewide)

Telehealth Adoption Rate
0.4% 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 (6 Years) 6 Yrs
Portland Specialty Average (17.1 Years) 17.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR ATI4521

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.

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 22, 2024

Registered at 4880 NE 104TH AVE, PORTLAND, OR 972203348 (Tel: 5034328452)

📍
Updated Business Mailing Address May 22, 2024

Registered at 4880 NE 104TH AVE, PORTLAND, OR 972203348 (Tel: 5034328452)

📍
Updated Practice Location July 07, 2020

Registered at 8136 SE FOSTER RD STE 260, PORTLAND, OR 972064288 (Tel: 5035464460)

📍
Updated Business Mailing Address July 07, 2020

Registered at 8136 SE FOSTER RD STE 260, PORTLAND, OR 972064288

👤
Provider Name / Credentials Updated July 07, 2020

Recorded as HALEY KIM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2020

Optometrist (License #ATI4521 in OR)

NPI Profile Active May 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2019

Registered at 19500 SE STARK ST, PORTLAND, OR 972335757 (Tel: 3605713084)

📍
Updated Business Mailing Address May 29, 2019

Registered at 4817 NW BLANDY TER, PORTLAND, OR 972291137

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as HALEY KIM, STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Haley Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Haley Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104483833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2019
Last Update: May 22, 2024
Sole Proprietor: No

Mailing Address

4880 Ne 104th Ave

Portland, OR 972203348

Phone: 5034328452

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.