DR. JOO KIM & ASSOCIATES, PLLC (NPI# 1366691511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366691511 |
| Entity Type | Organization |
| Organization Name | DR. JOO KIM & ASSOCIATES, PLLC |
| Practice Address |
14000 Worth Ave Woodbridge VA 22192-4121 |
| Practice Telephone | 7034972777 |
| Practice Fax Number | 7034972202 |
| Mailing Telephone | 7034972777 |
| Mailing Fax Number | 7034972202 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. JOO H KIM (OWNER) |
| Authorized Official Telephone | 7034972777 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
0618001515 | VA | Eye and Vision Services Providers |
| Street Address |
14000 WORTH AVE |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378556 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2006-07-16 |
| 1508466384 | Eunkyung Lee | Pharmacist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2020-10-29 |
| 1326648114 | Minakshi Kiran | Pharmacist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2020-10-29 |
| 1316547748 | Huda Karimi | Pharmacist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2020-10-26 |
| 1871935171 | Carl Woelfel | Pharmacist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2013-07-27 |
| 1376664748 | Joo Han Kim | Optometrist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2007-04-03 |
| 1891879482 | Wal-mart Stores East, Lp | Technician/Technologist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295796712 | Richard A. Jablonski | Optometrist | 12444 Dillingham Sq, Woodbridge, VA 22192-5258 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225528714 | Jkim Eye Care, O.d., Pllc | Optometrist | 5707 Centre Square Dr, Centreville, VA 20120-1916 | 2018-05-10 |
| 1770081465 | Andrew Hardison | Optometrist | 8600 Quioccasin Rd Ste 105, Richmond, VA 23229-5514 | 2018-01-28 |
| 1053766683 | Dr. Christopher Mcgarry and Associates, Optometrists, Inc. | Optometrist | 3114 N Parham Rd, Henrico, VA 23294-4407 | 2016-05-02 |
| 1467766279 | Colonial Eye Care, Plc | Optometrist | 5121 Center St, Suite 102, Williamsburg, VA 23188-2686 | 2010-08-04 |
| 1962686451 | Dr. David Gilbert & Associates, Optometrist, PC | Optometrist | 220 W Brambleton Ave, Ste 111, Norfolk, VA 23510-1506 | 2007-12-20 |
| 1346455748 | Charles W Stine Od PC | Optometrist | 4 Pendleton St, Middleburg, VA 20117 | 2007-05-11 |
| 1174641013 | David Alan Reed | Optometrist | 6740 Old Mclean Village Dr, Mclean, VA 22101-3981 | 2007-03-27 |
| 1770639742 | Dr. Bertram M. Brown, Optometrist, PC | Optometrist | 4941a Nine Mile Rd, Richmond, VA 23223-5738 | 2007-01-25 |
| 1770650228 | Gary Lee Best | Optometrist | 904 Apperson Dr, Salem, VA 24153-7135 | 2006-11-29 |
| 1962578823 | Robert E Titcomb Office | Optometrist | 217 Mason Ave, Cape Charles, VA 23310-3201 | 2006-11-24 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.