Individual provider Active NPI

Jenny Kwong, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1235689449
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5284 Issued in FL
Practice address
1155 Brickell Bay Drive Apt 3407
Miami, FL 33131-3249
Phone
(787) 244-3899
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5284 FL Primary

Addresses

Primary practice location

1155 Brickell Bay Drive Apt 3407
Miami, FL 33131-3249

Mailing address

1155 Brickell Bay Dr Apt 3407
Miami, FL 33131-3249
Phone (787) 244-3899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240926004280 FL Practitioner - Optometry 3375074693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Eyecare LLCGroup PAC ID 3274073390, 6 clinicians

Practice addresses (Care Compare)

1501 SE 24TH Rd
Ocala, FL 34471-6005
Phone (352) 629-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5284FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Eyecare, LLC Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Dr. Michael Johnson & Associates Optometrist PastSince Oct 2, 2022 Accepting new patients

Locations

3735 Evans Ave
Fort Myers, FL 33901
Phone (239) 277-3977

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

605 River Rock Blvd
Murfreesboro, TN 37128

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1235689449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 BRICKELL BAY DR APT 3407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313249",
            "telephone_number": "787-244-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 BRICKELL BAY DRIVE APT 3407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313249",
            "telephone_number": "787-244-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.