Active NPI
Katie Kwan, OD
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011337
- Practice address
- 2700 N Narragansett Ave # F4-F5
Chicago, IL 60639-1083 - Phone
- (218) 731-4120
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011337 | IL | Primary |
Addresses
Primary practice location
2700 N Narragansett Ave # F4-F5
Chicago, IL 60639-1083
Mailing address
801 S Financial PL Apt 2804
Chicago, IL 60605-1791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 355-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern College of Optometry | Optometrist | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Tennenbaum and Anstadt, LTD | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Tennenbaum and Anstadt, LTD | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Optometrist | Current | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
675 W North Ave
Ste 107
Melrose Park, IL 60160
Phone (708) 450-4510
1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670
1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250
Interoperability endpoints
- kkwan142650@direct.luhs.org
- kkwan170971@uihealth.direct-ci.com
Organizations & group practices 7
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Ophthalmology Physician
- Melrose Park, IL
- NPI 1750495321
-
- Optometrist
- Memphis, TN
- NPI 1851384986
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Eyewear Supplier
- Melrose Park, IL
- NPI 1740530971
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1720208135
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1124672142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S FINANCIAL PL APT 2804",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606051791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N NARRAGANSETT AVE # F4-F5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391083",
"telephone_number": "218-731-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "KATIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.