Doctor profile · Federal record

Dr. ELISABETH KIM, O.D.

Optometrist (CMS: OPTOMETRY) · WOODBRIDGE, VA

  • NPI 1154469070
  • Accepts Medicare
  • 34 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
4565 DAISY REID AVE STE 108
WOODBRIDGE, VA 221925671
(703) 878-8818
fax (703) 878-8819
Additional location
4160 Merchant Plz
Woodbridge, VA 221925085
Mailing address
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442

Credentials & registration

NPPES · NUCC
NPI registered
February 2007 — 19 yrs on file
Profile last updated
August 27, 2025
Year of graduation
1992 — 34 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Virginia #0618001424

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154469070. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Alcon Vision LLC 1 $15.64

By nature of payment

Food and Beverage
$16