IndividualActive
Jonathan Kim, OD
NPI 1073698650 · Optometrist · Fairfax, VA
Jonathan Kim, OD is a Optometrist provider in Fairfax, VA (NPI 1073698650).
Provider details
- NPI number
- 1073698650
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 0618001053 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11903-I Lee Jackson Memorial Hwy. #g133
Fairfax, VA 22033
Phone: (703) 218-8036
Fax: (703) 218-9841
Street-level locationGet directions
Mailing address
11103 West Ave
San Antonio, TX 78213-1370
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jonathan Kim's NPI number?
- Jonathan Kim's National Provider Identifier (NPI) is 1073698650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Kim's specialty?
- Jonathan Kim is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jonathan Kim located?
- Jonathan Kim's practice location on file with NPPES is 11903-I Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033.
- What is Jonathan Kim's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Kim is (703) 218-8036.
- Is Jonathan Kim's NPI active?
- Yes — Jonathan Kim's NPI (1073698650) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.