Elaine Seonog Kwon, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

11788T Issued in CA

Practice address

2380 Irving St
San Francisco, CA 94122-1621

Phone

(415) 566-8199

Fax

(415) 566-8198

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elaine Seonog Yoo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1316061237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221621",
            "telephone_number": "415-566-8199",
            "fax_number": "415-566-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221621",
            "telephone_number": "415-566-8199",
            "fax_number": "415-566-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ELAINE",
        "middle_name": "SEONOG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11788T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "72-1584284",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MES",
            "identifier": "16524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "YOO",
            "middle_name": "SEONOG",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yu-Heung Yvonne Kwok
• Katherine Lucille Kwon-Gibson
• Annette Y. Kwon, MD
• Brian Keejoon Kwon, DDS
• Daniel Hyuck-Min Kwon, MD
• Hyeeun Kwon, L.AC
• Hyunsoo Kwon, NP-C
• Janet Kwon, PHARM.D.
• Lynda Kwon, RN
• Melissa Atmadja Kwon, M.D.

• Corneal and Contact Management Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.