JONATHAN KIM (NPI# 1073698650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073698650 |
| Entity Type | Individual |
| Full Name | JONATHAN KIM |
| Credential | OD |
| Practice Address |
11903-i Lee Jackson Memorial Hwy. #g133 Fairfax VA 22033 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 7032188036 |
| Practice Fax Number | 7032189841 |
| Mailing Telephone | 2105246509 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618001053 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120091 | Jonathan Kim | Dentist | 7910 W Tropical Pkwy Ste 140, Las Vegas, NV 89149-4555 | 2019-08-20 |
| 1083084404 | Jonathan Kim | Dentist | 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 | 2015-09-28 |
| 1497070734 | Jonathan Jaeyoung Kim | Chiropractor | 7 Broad Ave Ste 309, Palisades Park, NJ 07650-1886 | 2010-03-30 |
| 1457527418 | Jonathan H Kim | Dentist | 1725 Berryessa Rd, Suite B, San Jose, CA 95133-1173 | 2008-04-30 |
| 1669418893 | Jonathan Yonghwan Kim | Chiropractor | 11766 Firestone Blvd, Norwalk, CA 90650-2898 | 2006-06-22 |
| 1013568294 | Jonathan Juyun Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-09-27 |
| 1801390109 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-21 |
| 1033643887 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2017-04-19 |
| 1093263444 | Jonathan Kim | Pharmacist | 3553 Whipple Rd, Union City, CA 94587-1507 | 2016-09-14 |
| 1982152534 | Jonathan Kim | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223-3171 | 2016-09-13 |
| Street Address |
11903-I LEE JACKSON MEMORIAL HWY. #G133 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528629110 | Atoz Eye Care LLC | Optometrist | 12426 Oak Rail Ln, Fairfax, VA 22033-6067 | 2019-06-24 |
| 1336661446 | Roman Golas | Optometrist | 3903 Fair Ridge Dr Ste E, Fairfax, VA 22033-2943 | 2017-07-10 |
| 1447788054 | Nicole Nguyen | Optometrist | 3950 University Dr Ste 211, Fairfax, VA 22030-2566 | 2017-05-25 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1063897494 | Manmeet Chatha | Optometrist | 3903 Fair Ridge Dr Unit E, Fairfax, VA 22033-2943 | 2015-07-27 |
| 1235536103 | Nova Premier Eyecare | Optometrist | 10333 Democracy Ln, Suite A, Fairfax, VA 22030-2544 | 2014-11-20 |
| 1740687789 | Isha Khosa | Optometrist | 4203 Fairfax Corner Ave E, Fairfax, VA 22030-8601 | 2014-11-19 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1023353356 | Merrifield Optometry, LLC | Optometrist | 2910 District Ave, Suite 160, Fairfax, VA 22031-2282 | 2012-11-27 |
| 1811243769 | Visual Health Doctors of Optometry | Optometrist | 10690 Fairfax Blvd, Fairfax, VA 22030-4379 | 2012-07-30 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.