Andrew Matthew Kwong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35272TLG Issued in CA

Practice address

611 Broadway
San Francisco, CA 94133-4405

Phone

(415) 982-0388

NPI assigned

Apr 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frank G Zheng OD IncGroup PAC ID 7113213331, 7 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.

• Frank G Zheng O.D. Inc

  • Optometrist
  • Lafayette, CA
  • NPI 1942754296
  Medicare reassignment Care Compare group NPD
• Avon Wai Kwong, O.D., Inc.

  • Optometrist
  • San Francisco, CA
  • NPI 1558600064
  Medicare reassignment NPD
• Ecs of Bay Area Optometry Corporation

  • Optometrist
  • Novato, CA
  • NPI 1154207868
  Medicare reassignment
• Avon Wai Kwong

  • Optometrist
  • San Francisco, CA
  • NPI 1114286242
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1114509718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 ASHBOURNE CIR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945839113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334405",
            "telephone_number": "415-982-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "ANDREW",
        "middle_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35272TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Atmadja Kwon, M.D.
• Tatiana Kwon, M.S., CCC-SLP
• Yookyung Kwon
• Amanda Kwong
• Amy Chu Kwong
• Anita Kwong
• Avon Wai Kwong, OD
• Calvin K Kwong, M.D.
• Elena Sze CHI Kwong
• Ivy Yip Kwong, DPT

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.