Jiyong Jennifer Kwon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5887 Issued in NY

Practice address

542 Laguardia PL
New York, NY 10012-1458

Phone

(212) 767-9465

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul Naftali O D P aGroup PAC ID 6800968942, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul Naftali O D P a

  • Corneal and Contact Management Optometrist
  • Madison, NJ
  • NPI 1508053760
  Medicare reassignment Care Compare group NPD
• Laguardia Place Optometry PLLC

  • Optometrist
  • New York, NY
  • NPI 1639044613
  NPD
• Sheldon Rabin, M.D., P.C.

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1568632271
  NPD (past)
• Agg Optical Inc.

  • Optometrist
  • Madison, NJ
  • NPI 1235059924
  NPD (past)
• Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
  • NPI 1285931709
  NPD (past)
• Edmonds and Associates

  • Optometrist
  • Drexel Hill, PA
  • NPI 1295828812
  NPD (past)
• J Jennifer Lee OD PC

  • Clinic/Center
  • Hammonton, NJ
  • NPI 1235294364
  NPD (past)
• Summit Podiatry Group, PA

  • Podiatrist
  • New Providence, NJ
  • NPI 1649398793
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1104981489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EDGEWOOD RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013903",
            "telephone_number": "609-304-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LAGUARDIA PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121458",
            "telephone_number": "212-767-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "JIYONG",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5887",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA005657",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heoeeun Kwon
• Hyuck-Jin Daniel Kwon, MD
• Isabel Kwon, DDS
• Jangwon Kwon, PT, DPT
• Jean H. Kwon, CRNA
• Junhyoung Kwon
• Katie Yusun Kwon, MD
• Mary Kwon, P.A.
• Nancy Kwon, M.D.
• Narae Kwon, RPH

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.