Individual provider Active NPI

Deborah Kim Cho, OD

  • Optometrist
  • Chantilly, VA
National Provider Identifier
1114188257
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001759 Issued in VA
Practice address
14337 Newbrook Dr Ste 400
Chantilly, VA 20151-4259
Phone
(571) 512-5990
Fax
(571) 512-5989
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001759 VA Primary

Addresses

Primary practice location

14337 Newbrook Dr Ste 400
Chantilly, VA 20151-4259

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Deborah Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110124000291 DC Practitioner - Optometry 0446439442 Reassigns benefits to 1 organization
I20170328000066 VA Practitioner - Optometry 0446439442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 3, 2018 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 3, 2018 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 3, 2018 Accepting new patients
Capital Vision PLLC PastSince Jul 1, 2020 Accepting new patients
Ballston Optometry, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

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

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

24570 Dulles Landing Dr
Unit 170
Sterling, VA 20166
Phone (571) 367-7610

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8369 Leesburg Pike
Ste A
Vienna, VA 22182
Phone (703) 506-0000

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1114188257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14337 NEWBROOK DR STE 400",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514259",
            "telephone_number": "571-512-5990",
            "fax_number": "571-512-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "DEBORAH",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-10-29",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "KIM",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.