James Paul Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002066 Issued in VA

Practice address

8350 Traford LN
2ND Floor
Springfield, VA 22152-1664

Phone

(703) 569-6363

Fax

(703) 569-6363

NPI assigned

Oct 14, 2011

Sex

Male

Sole proprietor

No

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 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

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gatten Eye Care, PLLCGroup PAC ID 2860820503, 3 clinicians

Michael J. Davidson, O.D., P.C.Group PAC ID 4688607096, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gatten Eye Care, PLLC

  • Optometrist
  • Franklin, VA
  • NPI 1235307075
  Medicare reassignment Care Compare group NPD
• Michael J. Davidson, O.D., P.C.

  • Optometrist
  • Springfield, VA
  • NPI 1124190251

  DC

  Medicare reassignment Care Compare group NPD
• Michael J. Davidson, O.D., P.C.

  • Durable Medical Equipment & Medical Supplies
  • Springfield, VA
  • NPI 1710138391

  Optometrist

  NPD

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1821373473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 TRAFORD LN",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521664",
            "telephone_number": "703-569-6363",
            "fax_number": "703-569-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 TRAFORD LN",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521664",
            "telephone_number": "703-569-6363",
            "fax_number": "703-569-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Yates Kienzle, MS OTR/L
• Kim Hien Nguyen, OD PC
• Candace Bahk Kim, DC
• Eun Kim
• Hie C Kim, M.D.
• Jong-Yoon Kim
• Kenneth Yong Kim, DC
• Seung Wook Kim, D.D.S
• Yong Hyun Kim, D.M.D.
• Youngdae Kim, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.