Dr. Joo Kim & Associates, PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0618001515 Issued in VA

Legal business name

DR. JOO KIM & ASSOCIATES, PLLC

Practice address

14000 Worth Ave
Woodbridge, VA 22192-4121

Phone

(703) 497-2777

Fax

(703) 497-2202

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joo H Kim, O.D.NPI 1376664748

Title

Owner

Phone

(703) 497-2777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joo Han Kim, O.D.

  • Optometrist
  • Woodbridge, VA
  • NPI 1376664748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1366691511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 WORTH AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924121",
            "telephone_number": "703-497-2777",
            "fax_number": "703-497-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 WORTH AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924121",
            "telephone_number": "703-497-2777",
            "fax_number": "703-497-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOO KIM & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-497-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Corneal and Contact Management Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.