Doctor profile · Federal record
Dr. Jisoo Song, OD
Optometrist · Optometrist · Herndon, VA
- NPI 1407556921
- 3 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
709 Pine St
Herndon, VA 201704604
(703) 471-7810
fax (703) 471-6549 - Mailing address
-
8614 Westwood Center Dr Fl 9
Vienna, VA 221822442
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- November 25, 2025
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Virginia #0618003230 · Florida #OPC6222
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407556921. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$155
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 2 | $155.20 |
By nature of payment
Frequently asked questions
What is Dr. Jisoo Song's medical specialty?
Dr. Jisoo Song practices Optometrist in Herndon, VA.
Where does Dr. Jisoo Song practice?
Dr. Jisoo Song practices at 709 Pine St, Herndon, VA 201704604. Office phone: 7034717810.
What is Dr. Jisoo Song's NPI?
Dr. Jisoo Song's National Provider Identifier (NPI) is 1407556921, issued by NPPES.