Mikela D. Kwan, Optometric Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2394 Issued in NM

Legal business name

MIKELA D. KWAN, OPTOMETRIC SERVICES, LLC

Practice address

6208 Montgomery Blvd NE
Suite E
Albuquerque, NM 87109-1400

Phone

(505) 822-8387

NPI assigned

Jul 16, 2006

Last updated

May 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mikela Dawna Kwan, O.D

Title

Doctor

Phone

(505) 822-8387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1215954011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-822-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-822-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKELA D. KWAN, OPTOMETRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "MIKELA",
        "authorized_official_middle_name": "DAWNA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-822-8387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Mignogna III, MD
• Miguel Pupiales MD PC
• Kristin Mihalik, LMSW
• Laura Anne Mihalko, M.D.
• Timothy Mike
• Anna Mikesky, PSYD
• Elizabeth A Mikola, MD
• Abbey Miksch, OT
• Susan Mikulec
• Kimberly Gaye Mikus

• Optometrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.