Jisoo Song, OD
Optometrist · Herndon, VA
Jisoo Song, OD is an optometrist with a practice address in Herndon, Virginia, and NPI 1407556921, issued on Mar 3, 2023. Check the license (Virginia 0618003230, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jisoo Song
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 0618003230 VA
OPC6222 FL
Self-reported in NPPES; status is on the state search - Practice location
- 709 Pine St, Herndon, VA 20170
- Phone
- (703) 471-7810
- Enumerated
- Mar 3, 2023
- Record last updated
- Nov 25, 2025
- Fax
- (703) 471-6549
- Medicare enrollment
- Enrolled (PECOS I20240513001209); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,460 in Virginia → Look up another NPI →
Also registered at 709 Pine St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anahita AminshokraviOptometrist1871901645
- Thomas Finley, O.D.Optometrist1396766713
- Colin Grant, O.D,Optometrist1508207572
- Rachel Kim, ODOptometrist1063073443
- Elham Quraishi, ODOptometrist1235621574
- Patricia Woo, O.D.Optometrist1477752665
Verify Jisoo Song in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0618003230Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $155.20
2 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Myeyedr Optometry OF Virginia, PLLCFalls Church, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jisoo Song among 1,460 optometrist records in Virginia
Jisoo Song, OD is one of 1,460 optometrist records with a practice address in Virginia. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 91% of them.
- NPI issued2023 · 91% of these records are older, 6% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2022 · median 2007 among the 885 with a school on file
- Record last updated2025 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 optometrist records list a practice address in Herndon
They are 19 of the 943 NPPES records with a practice address in Herndon, and 1,460 optometrist records in Virginia.
All 1,460 in Virginia → Every provider in Herndon → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Anahita AminshokraviHerndon, VA 201701871901645
- Thomas Finley, O.D.Herndon, VA 201701396766713
- Colin Grant, O.D,Herndon, VA 201701508207572
- William Hutcheson, ODHerndon, VA 201701376548024
- Rachel Kim, ODHerndon, VA 201701063073443
- Elham Quraishi, ODHerndon, VA 201701235621574
- Patricia Woo, O.D.Herndon, VA 201701477752665
- Ruby Arthur, ODHerndon, VA 201711073692869
Common questions
What is Jisoo Song, OD's NPI number?
Jisoo Song, OD's National Provider Identifier (NPI) is 1407556921, issued on Mar 3, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Jisoo Song, OD located?
The NPPES record lists a practice address at 709 Pine St, Herndon, VA, 20170. Phone: (703) 471-7810. Providers update this record themselves, so call before visiting.
How can I verify Jisoo Song, OD's license?
NPPES lists Virginia license number 0618003230, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.