JONATHAN KIM OD
NPI 1073698650
Optometrist in Fairfax, VA

Q: What is Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1073698650. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

On this page

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

Phone(703) 218-8036

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1073698650. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Jonathan Kim located?

Jonathan Kim practices at 11903-I Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033. The listed phone number is (703) 218-8036.

What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.