Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jisoo Song, OD

Individual provider Optometrist · NPI 1407556921

Jisoo Song, OD is registered under Optometry in Herndon, Virginia. Qualified in 2022, 4 years ago. Practices with Myeyedr Optometry of Virginia, PLLC, a 134-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
4
Licensed in
FL, VA
In the registry since
2023
Specialties on file
2
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

709 Pine St
Herndon, VA 20170-4604
Phone: (703) 471-7810
Fax: (703) 471-6549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618003230 (VA)
Optometrist Taxonomy 152W00000X · Licence OPC6222 (FL)

Record details

NPI number1407556921
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 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

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $34 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Myeyedr Optometry of Virginia, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 134 clinicians in the practice; 12 are shown here.

Other providers in Herndon