Individual provider Active NPI

Yustina Chaeyeon Kang, OD, MS

  • Optometrist
  • North Chesterfield, VA
National Provider Identifier
1063254175
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003417 Issued in VA
Practice address
601 N Courthouse Rd
North Chesterfield, VA 23236-4062
Phone
(804) 858-2020
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003417 VA Primary

Addresses

Primary practice location

601 N Courthouse Rd
North Chesterfield, VA 23236-4062

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008003837 VA Practitioner - Optometry 0749711232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians
Oatman Nilsen and Associates Optometrists LTDGroup PAC ID 5496840142, 9 clinicians

Practice addresses (Care Compare)

1660 Anderson Hwy
Powhatan, VA 23139-8007
Phone (804) 897-3334

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

601 N Courthouse Rd
Suite 2
North Chesterfield, VA 23236-4062
Phone (804) 858-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Oatman Nilsen & Associates Optometrists LTD Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 13, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 13, 2025 Accepting new patients
City Eye, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Past Accepting new patients
Ballston Optometry, LLC Optometrist Past Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

601 N Courthouse Rd
Ste 2
North Chesterfield, VA 23236
Phone (804) 858-2020

601 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 858-2020

1660 Anderson Hwy
Powhatan, VA 23139
Phone (804) 897-3334

3524 W Cary St
Richmond, VA 23221
Phone (804) 750-7113

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1063254175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N COURTHOUSE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364062",
            "telephone_number": "804-858-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YUSTINA",
        "middle_name": "CHAEYEON",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.