Jonathan Kim, OD

Optometrist · Fairfax, VA

Individual Active NPI

NPI number 1073698650

Practice location

11903-I Lee Jackson Memorial Hwy. #g133
Fairfax, VA 22033
Phone
(703) 218-8036
Fax
(703) 218-9841

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NPI record

NPI
1073698650
Entity type
Individual (Type 1)
Enumeration date
October 25, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618001053 VA

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone
(210) 524-6509
Fax
(210) 524-6587

About Dr. Kim

Jonathan Kim, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 11903-I Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033. The NPI number 1073698650 was assigned on October 25, 2006 and the record was last updated on July 8, 2007.

Dr. Kim lists a license in the registry: #0618001053 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Kim, OD?

The NPI number is 1073698650.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (703) 218-8036.

Where is Dr. Kim located?

11903-I Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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