Elisabeth Keunrok Kim in Woodbridge - Optometrist
Elisabeth Keunrok Kim - NPI 1154469070
Elisabeth Keunrok Kim is a Optometrist in Woodbridge, Virginia. Elisabeth Keunrok Kim practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elisabeth Keunrok Kim is 1154469070. The last update date is 2007-07-08.
Elisabeth Keunrok Kim's current location address is 4160 Merchant Plz, Woodbridge, Virginia. You can contact this provider via phone number 7038788818 and fax number 7038788819. The mailing address for Elisabeth Keunrok Kim is 4160 Merchant Plz, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisabeth Keunrok Kim |
|---|---|
| Address | 4160 Merchant Plz, Woodbridge, Virginia |
| Phone Number | 7038788818 |
| Fax Number | 7038788819 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1154469070 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4160 Merchant Plz |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221925085 |
| Phone Number | 7038788818 |
| Fax Number | 7038788819 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618001424 |
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Definition: 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 |
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What is the unique provider identifier assigned to Elisabeth Keunrok Kim?
The Elisabeth Keunrok Kim has been issued the NPI (National Provider Identifier) 1154469070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elisabeth Keunrok Kim's facilities are geographically located?
The facilities of Elisabeth Keunrok Kim are physically situated at the following location: 4160 Merchant Plz, Woodbridge, VA, 221925085.
What is Elisabeth Keunrok Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elisabeth Keunrok Kim's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did Elisabeth Keunrok Kim receive its 1154469070 assignment from the Centers for Medicare & Medicaid Services?
The Elisabeth Keunrok Kim was assigned its 1154469070 on 2007-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Elisabeth Keunrok Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elisabeth Keunrok Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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