Jisoo Song, OD

NPI #1407556921 in Herndon, Virginia

Provider Information

NPI Number: 1407556921
Entity Type: Individual
Name: Jisoo Song, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 3, 2023
Last Updated: Nov 25, 2025

Practice Location

Address: 709 PINE ST
City: Herndon
State: Virginia
ZIP Code: 20170-4604
Phone: (703) 471-7810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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