Kim, Michael

Kim, Michael is an individual health care provider with primary practice located at 42015 Village Center Plz Ste 103 , Stone Ridge VA 20105-3031. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kim, Michael can be contacted via phone (703) 542-8888.

Contact Information

Primary practice address
42015 Village Center Plz Ste 103 Stone Ridge VA 20105-3031
Phone: (703) 542-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618002949 Virginia

Profile Details

NPI number 1215525829
LBN Legal business name Kim, Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2021
Last updated Jan 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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