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

Jisoo Song, OD

Individual provider Optometrist · NPI 1407556921

Jisoo Song, OD is an 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

709 Pine St
Herndon, VA 20170-4604
Phone: (703) 471-7810
Fax: (703) 471-6549
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

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

Other providers in Herndon