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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