Individual provider · Type 1 NPI

Elisabeth Keunrok Kim, OD

Optometrist · Woodbridge, VA

NPI number 1154469070 Active

Practice location

4565 Daisy Reid Ave Ste 108
Woodbridge, VA 22192-5671

Fax (703) 878-8819

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Other practice locations

  • 4160 Merchant Plz, Woodbridge, VA 22192-5085 · (703) 878-8818

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X0618001424 (VA)

Optometrist: 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 e…

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About NPI 1154469070

Elisabeth Keunrok Kim, OD's National Provider Identifier is 1154469070, issued on Feb 2, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Woodbridge, VA. The record was last updated on Aug 27, 2025.