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

Jonathan Kim, OD

Individual provider Optometrist · NPI 1073698650

Jonathan Kim, OD is an Optometrist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

11903-I Lee Jackson Memorial Hwy #G133
Fairfax, VA 22033
Phone: (703) 218-8036
Fax: (703) 218-9841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618001053 (VA)

Record details

NPI number1073698650
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address11103 West Ave, Suite 6, San Antonio, TX 78213-1370

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