Active NPI
Grace Kim Oei, OD
- Optometrist
- Leesburg, VA
National Provider Identifier
1548424823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001693
- Practice address
- 1300 Edwards Ferry Rd NE Ste a
Leesburg, VA 20176-3355 - Phone
- (703) 771-4181
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007238 | NY | |
| Optometrist | 152W00000X | 0618001693 | VA | Primary |
Addresses
Primary practice location
1300 Edwards Ferry Rd NE Ste a
Leesburg, VA 20176-3355
Mailing address
1300 Edwards Ferry Rd NE Ste a
Leesburg, VA 20176-3355
Phone (703) 771-4181
Other practice location 1
7373 Boston Blvd Ste A
Springfield, VA 22153-2805
Phone (703) 455-6002
Other names 1
- Grace Kim Bernardez-Fu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001693 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1548424823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 EDWARDS FERRY RD NE STE A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763355",
"telephone_number": "703-771-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EDWARDS FERRY RD NE STE A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763355",
"telephone_number": "703-771-4181"
}
],
"practiceLocations": [
{
"address_1": "7373 Boston Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221532805",
"country_code": "US",
"telephone_number": "703-455-6002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OEI",
"first_name": "GRACE",
"middle_name": "KIM",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007238",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "BERNARDEZ-FU",
"middle_name": "KIM",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.