Alice Kwok, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1786 Issued in AZ

Practice address

8671 W Union Hills Dr
Ste 502
Peoria, AZ 85382-7005

Phone

(623) 583-8388

Fax

(623) 972-3225

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 29, 2021 through Nov 29, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Mark L. Jaffe

  • Optometrist
  • Glendale, AZ
  • NPI 1902958135
  NPD (past)
• DRS.Seulyn Lee Au and Khan G W Lau Optometrist Inc

  • Optometrist
  • Honolulu, HI
  • NPI 1144367228
  NPD (past)
• Inspired Vision, LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1851960843
  NPD (past)
• Vision Insight Optometry, Inc

  • Optometrist
  • Milpitas, CA
  • NPI 1538942602
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1417014119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 W UNION HILLS DR",
            "address_2": "STE 502",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827005",
            "telephone_number": "623-583-8388",
            "fax_number": "623-972-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 W UNION HILLS DR",
            "address_2": "STE 502",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827005",
            "telephone_number": "623-583-8388",
            "fax_number": "623-972-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "ALICE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635656",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z147101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey J Kulp, PT, DPT
• Rekha Kumari Agarwal, MD
• Patrick M Kuritz, DNP, MPH, ANP, PMHNP
• Alisa Kurth, FNP-C
• Christy Renee Kutz, CRNP
• Stephanie Christine Kyle, LCSW
• L & E Behavior Home, LLC
• L2E Physical Therapy, PLLC
• Jennifer Helene Labarr Maze
• Randy Gunars Lacis, PHARM.D

• Optometrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.