Organization Active NPI

Michael G. Kwok, O.D. PLLC

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1093171225
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL G. KWOK, O.D. PLLC
Practice address
440 Spotsylvania Towne Centre
Fredericksburg, VA 22407-1123
Phone
(540) 786-2272
Fax
(540) 786-3793
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael G Kwok, O.D.
Title
President / Optometrist
Phone
(443) 845-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VA Primary

Addresses

Primary practice location

440 Spotsylvania Towne Centre
Fredericksburg, VA 22407-1123

Mailing address

8123 Gilroy Dr
Lorton, VA 22079-2937
Phone (443) 845-1188

Other practice location 1

8025 Tysons Corner Ctr
Mc Lean, VA 22102-4525
Phone (703) 734-0977

National Provider Directory

National Provider Directory

Locations

440 Spotsylvania Mall
Fredericksburg, VA 22407
Phone (540) 786-2272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1093171225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 GILROY DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792937",
            "telephone_number": "443-845-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SPOTSYLVANIA TOWNE CENTRE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071123",
            "telephone_number": "540-786-2272",
            "fax_number": "540-786-3793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8025 Tysons Corner Ctr",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024525",
            "country_code": "US",
            "telephone_number": "703-734-0977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL G. KWOK, O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT / OPTOMETRIST",
        "authorized_official_telephone_number": "443-845-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.