Dr. Derek Kwon Optometry, Inc
NPI 1013174333ActiveOrganization· Optometrist· Anaheim, CA
Optometrist in Anaheim, California, registered in NPPES in May 2008. The authorized official on file is Soonsi Kwon, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013174333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2008 |
| Last updated in NPPES | May 5, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11681T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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