Active NPI
Jenny Kwong, O.D.
- Optometrist
- Miami, FL
National Provider Identifier
1235689449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 5284
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 5284 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Eyecare, LLC | Optometrist | Current | Accepting new patients |
| Dr. Michael Johnson & Associates | Optometrist | Past | 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.
-
- Optometrist
- Gadsden, AL
- NPI 1043596216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.