Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elisabeth Keunrok Kim, OD

Individual provider Optometrist · NPI 1154469070

Dr. Elisabeth Keunrok Kim, OD is an Optometry in Woodbridge, Virginia. Graduated from Pennsylvania College of Optometry in 1992, 34 years ago. Practices with Myeyedr Optometry of Virginia, PLLC, a 134-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
34
Trained at
Pennsylvania College of Optometry
Licensed in
VA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4565 Daisy Reid Ave Ste 108
Woodbridge, VA 22192-5671
Phone: (703) 878-8818
Fax: (703) 878-8819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618001424 (VA)

Record details

NPI number1154469070
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Myeyedr Optometry Of Virginia, Pllc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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