Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KIM, OD
ActiveMICHAEL KIM, OD is a Optometrist healthcare provider located in STONE RIDGE, Virginia. NPI 1215525829 is currently active in the NPPES registry. Verify at CMS.
Optometrist · STONE RIDGE, VA
Registration Details
- NPI Number
- 1215525829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2021 (5.4518502938767 yrs)
- Last Updated
- Jan 8, 2021
- License
-
0618002949 (VA)
Practice Information
- Address
-
42015 VILLAGE CENTER PLZ STE 103STONE RIDGE, VA, 201053031Browse VA providers · Browse ZIP 20105
- Phone
- 7035428888
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in STONE RIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| STACY MARIE JAFFE | O.D. | 1720451321 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.