Karen Jinyoung Kim

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002809 Issued in VA

Practice address

5206 Rolling Rd
Burke, VA 22015-4905

Phone

(703) 425-2000

NPI assigned

Jul 8, 2019

Sex

Female

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

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.

• Gene Sweetnam, O.D., P.C.

  • Optometrist
  • Burke, VA
  • NPI 1932281532

  DC

  Medicare reassignment NPD
• Michael J. Bermel, O.D., P.C.

  • Optometrist
  • Gainesville, VA
  • NPI 1568525616
  Medicare reassignment NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Alexandria, VA
  • NPI 1063454460

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1902468127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 ROLLING RD",
            "address_2": "STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154900",
            "telephone_number": "703-425-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 ROLLING RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154905",
            "telephone_number": "703-425-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KAREN",
        "middle_name": "JINYOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeel Khan, DDS
• Bao-Tram Minh Khuc, PHARMD
• Lindsay Gann Killick, NP-C
• Chloe M Kim, PHARMD
• Jin Young Kim, DMD
• Paula Kim
• Sarah Kim, MS OTR/L
• Tina Sun-Jung Kim, PHARM.D
• Young Hoon Kim, DMD
• Virginia Grimes Kinzer, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.