Joo Han Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001515 Issued in VA

Practice address

14000 Worth Ave
Woodbridge, VA 22192-4121

Phone

(703) 497-2777

Fax

(703) 491-0531

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Joo Kim & Associates, PLLC

  • Corneal and Contact Management Optometrist
  • Woodbridge, VA
  • NPI 1366691511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376664748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 POST CORNERS TRL APT B",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201206332",
            "telephone_number": "703-349-0984"
        },
        {
            "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": "703-491-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOO",
        "middle_name": "HAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Keunrok Kim, O.D.
• Grace Kim, M.A., QMHP-C, NCC
• Hee Don Kim, DDS
• Heeshin Kim, M.D.
• Hye Julie Kim
• Miri Kim, PA-C
• Sandra Kim, D.M.D.
• Sun Ha Kim, DDS
• Kimberly J. Carr, L.C.S.W., P.C.
• Alesha Dawn Kimmel-Dayen, DPT, PT

• Optometrist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.