JONATHAN KIM OD
NPI 1073698650
Optometrist in Fairfax, VA

Active since October 25, 2006
11903-I LEE JACKSON MEMORIAL HWY. #G133, FAIRFAX, VA 22033(703) 218-8036(703) 218-9841 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan Kim Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN KIM OD (NPI 1073698650) is an individual optometrist in Fairfax, Virginia, licensed in Virginia (0618001053) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073698650
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJONATHAN KIMCredential: OD
Location Address11903-I LEE JACKSON MEMORIAL HWY. #G133Fairfax, VA 22033
Mailing Address11103 West Ave, Suite 6San Antonio, TX 78213-1370 · (210) 524-6509 · Fax (210) 524-6587
Fax(703) 218-9841
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073698650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in VA · 0618001053
Definition

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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073698650, enumerated as an "individual" on October 25, 2006.

The provider is located at 11903-I LEE JACKSON MEMORIAL HWY. #G133 FAIRFAX, VA 22033 and the phone number is (703) 218-8036.

Optometrist with taxonomy code 152W00000X.