Yonwook Justin Kim, MD

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

0101283591 Issued in VA

Practice address

3031 Javier Rd Ste 300
Fairfax, VA 22031-4638

Phone

(703) 698-8880

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Boston University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons IncGroup PAC ID 8820133929, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kim.yonwook.mse@direct.partners.masshiway.net

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.

• Eye Physicians and Surgeons Inc

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1518292275

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Associates in Eyecare Bristow PC

  • Corneal and Contact Management Optometrist
  • Bristow, VA
  • NPI 1972786234

  Single Specialty

  NPD (past)
• Microsurgical Eye Consultants

  • Ophthalmology Physician
  • Peabody, MA
  • NPI 1346648136

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821524331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314638",
            "telephone_number": "703-698-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314638",
            "telephone_number": "703-698-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONWOOK",
        "middle_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MA",
            "license": "292643",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101283591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen S Kim, M.D.
• Suk Young Kim
• Theodore Tae-Hun Kim, M.D.
• Wooni F Kim, PMHNP
• Yei Jin Kim
• Young-Lan Kim
• Yung Kim, LCSW
• William Harrison Kimbrough, M.D.
• Howard M Kimes, MD
• Kind Minds ABA LLC

• Glaucoma Specialist (Ophthalmology) Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.