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Active NPI 1215525829 Individual Practitioner Male Practitioner

Dr. Michael Kim , OD

Optometrist • Stone Ridge, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kim, OD is a registered healthcare professional specializing in Optometrist in Stone Ridge, VA. Practice services are available at 42015 VILLAGE CENTER PLZ STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42015 Village Center Plz Ste 103

Stone Ridge, VA 201053031

Telephone 7035428888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Stone Ridge, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Stone Ridge, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-08
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618002949

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1649243908

Doctor of Optometry

NPI 1720451321

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2021

Registered at 42015 VILLAGE CENTER PLZ STE 103, STONE RIDGE, VA 201053031 (Tel: 7035428888)

📍
Updated Business Mailing Address January 08, 2021

Registered at 12640 MAGNA CARTA RD, HERNDON, VA 201712709 (Tel: 7035797019)

👤
Provider Name / Credentials Updated January 08, 2021

Recorded as MICHAEL KIM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Optometrist (License #0618002949 in VA)

🟢
Initial NPI Registration & Enumeration January 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215525829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2021
Last Update: January 08, 2021
Sole Proprietor: No

Mailing Address

12640 Magna Carta Rd

Herndon, VA 201712709

Phone: 7035797019

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.