| Jisoo Song, OD | |
|
709 Pine St, Herndon, VA 20170-4604 | |
| (703) 471-7810 | |
| (703) 471-6549 |
| Full Name | Jisoo Song |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 3 Years |
| Location | 709 Pine St, Herndon, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407556921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618003230 (Virginia) | Primary |
| 152W00000X | Optometrist | OPC6222 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| My Eye Dr. Optometrists, Llc | 4183659238 | 8 |
| Provider Name | My Eye Dr. Optometrists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356406581 PECOS PAC ID: 4183659238 Enrollment ID: O20050928000482 |
| Provider Name | Ballston Optometry, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083779094 PECOS PAC ID: 8820197833 Enrollment ID: O20070615000209 |
| Provider Name | Clarendon Optometry, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497810436 PECOS PAC ID: 5092804286 Enrollment ID: O20071211000732 |
| Provider Name | Alexandria Optometry, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376608380 PECOS PAC ID: 7012078306 Enrollment ID: O20081204000764 |
| Provider Name | Pentagon City Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205149820 PECOS PAC ID: 9931344801 Enrollment ID: O20130325000315 |
| Provider Name | Kings Crossing Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689919847 PECOS PAC ID: 3870739683 Enrollment ID: O20130424000465 |
| Provider Name | Myeyedr Optometry Of Virginia, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710343744 PECOS PAC ID: 0143448456 Enrollment ID: O20160217001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Jisoo Song, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Jisoo Song, OD 709 Pine St, Herndon, VA 20170-4604 Ph: (703) 471-7810 |
Myeyedr Optometry Of Virginia, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13320 Franklin Farm Rd Ste H, Herndon, VA 20171 Phone: 703-481-5600 Fax: 703-437-4137 | |
The Eyecare Center Optometrists, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13320 Franklin Farm Rd Ste H, Herndon, VA 20171 Phone: 703-481-5600 Fax: 703-437-4137 | |
Rachel Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 709 Pine St, Herndon, VA 20170 Phone: 703-471-7810 Fax: 703-471-6549 | |
Ruby Arthur, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2501 Centreville Rd # 012, Herndon, VA 20171 Phone: 703-471-1012 Fax: 703-793-6128 | |
Scott Barron, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2501 Centreville Rd # 012, Herndon, VA 20171 Phone: 703-471-1012 Fax: 703-793-6128 | |
Elham Quraishi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 709 Pine St, Herndon, VA 20170 Phone: 703-471-7810 Fax: 703-471-6549 | |
Myeyedr Optometry Of Virginia, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 709 Pine St, Herndon, VA 20170 Phone: 703-471-7810 |