Doctor profile · Federal record
Dr. Haley Kim, OD
Optometrist (CMS: Optometry) · Portland, OR
- NPI 1104483833
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4880 Ne 104Th Ave
Portland, OR 972203348
(503) 432-8452
fax (503) 432-8402
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- May 22, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Oregon #ATI4521
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104483833. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$118
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 4 | $81.76 | |
| Johnson & Johnson Vision Care, INC. | 2 | $36.25 |
By nature of payment
Frequently asked questions
What is Dr. Haley Kim's medical specialty?
Dr. Haley Kim practices Optometrist in Portland, OR.
Where does Dr. Haley Kim practice?
Dr. Haley Kim practices at 4880 Ne 104Th Ave, Portland, OR 972203348. Office phone: 5034328452.
What is Dr. Haley Kim's NPI?
Dr. Haley Kim's National Provider Identifier (NPI) is 1104483833, issued by NPPES.
Does Dr. Haley Kim accept Medicare assignment?
Yes. Dr. Haley Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.