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Organization
JKIM EYE CARE, O.D., PLLC
Active
Organization
JKIM EYE CARE, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOO HAN KIM OD (PRINCIPAL MEMEBER)
(703) 815-2500
Entity
Organization
Contact information
Practice address
5707 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 815-2500
(703) 815-2501
Mailing address
5707 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 815-2500
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0618001515
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376664748
OPTOMETRY
VA
Enumeration date
05/10/2018
Last updated
03/08/2019
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