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Jisoo Song, OD

Optometrist in Herndon, VA · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407556921

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Registry record

Entity type Individual (Type 1)
Name Jisoo Song
Credential OD
Sex Female
Practice address 709 Pine St, Herndon, VA, 20170
Phone (703) 471-7810
Fax (703) 471-6549
Enumeration date Mar 3, 2023
Last updated in NPPES Nov 25, 2025

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 0618003230 (VA) Primary
152W00000X Optometrist Eye and Vision Services Providers · License OPC6222 (FL) Secondary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jisoo Song practice?
The practice location on file with NPPES is in Herndon, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jisoo Song?
The National Provider Identifier (NPI) for Jisoo Song is 1407556921, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-25.