Individual provider Active NPI

Jennifer Kwok, O.D.

  • Optometrist
  • Bensalem, PA
National Provider Identifier
1144639212
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003068 Issued in PA
Practice address
3046 Knights Rd
Bensalem, PA 19020-2815
Phone
(215) 639-4500
Fax
(215) 604-0355
NPI assigned
Aug 3, 2014
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I4-0000074 DE
Optometrist 152W00000X OEG003068 PA Primary

Addresses

Primary practice location

3046 Knights Rd
Bensalem, PA 19020-2815

Mailing address

3046 Knights Rd
Bensalem, PA 19020-2815
Phone (215) 639-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150810002251 PA Practitioner - Optometry 1951628908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I4-0000074DEMDOptometrist
OEG003068PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Sep 15, 2021 Accepting new patients
Visionworks, Inc CurrentSince Sep 15, 2021 Accepting new patients
Eye Associates of Bucks County PastSince Sep 10, 2012 Accepting new patients

Locations

2240 Street Rd
Bensalem, PA 19020
Phone (215) 639-4045

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Interoperability endpoints

  • Direct secure messaging: jennifer.kwok@uprisedirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1144639212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202815",
            "telephone_number": "215-639-4500",
            "fax_number": "215-604-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 KNIGHTS RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202815",
            "telephone_number": "215-639-4500",
            "fax_number": "215-604-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-03",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I4-0000074",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.