Organization Active NPI

Iris Kwong an Optometric Corporation

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1427859743
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IRIS KWONG AN OPTOMETRIC CORPORATION
Practice address
600 Showers Dr Ste 700
Mountain View, CA 94040-1434
Phone
(650) 770-7677
NPI assigned
Mar 22, 2025
Last updated
Mar 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Authorized official

Name
Dr. Iris KwongNPI 1548741929
Title
Owner
Phone
(510) 881-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

600 Showers Dr Ste 700
Mountain View, CA 94040-1434

Mailing address

2406 Clover St
Union City, CA 94587-5320
Phone (510) 881-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001075 CA Part B Supplier - Clinic/Group Practice 3678086659 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

600 Showers Dr
#700
Mountain View, CA 94040
Phone (650) 770-7677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1427859743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 CLOVER ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875320",
            "telephone_number": "510-881-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SHOWERS DR STE 700",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401434",
            "telephone_number": "650-770-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS KWONG AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-881-3633",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.