Michelle Jayeun Kwon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

337235 Issued in WI

Practice address

1489 E Sumner St
Hartford, WI 53027-2606

Phone

(262) 673-7737

Fax

(262) 673-7702

NPI assigned

Jun 2, 2015

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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Vision Health, LLC

  • Optometrist
  • Hartford, WI
  • NPI 1215312343
  Medicare reassignment NPD Authorized official
• Phillip E Roy, O.D.

  • Optometrist
  • Brookfield, WI
  • NPI 1750406781
  Medicare reassignment
• Phillip E Roy

  • Optometrist
  • Brookfield, WI
  • NPI 1427425222
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1447630744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272606",
            "telephone_number": "262-673-7737",
            "fax_number": "262-673-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272606",
            "telephone_number": "262-673-7737",
            "fax_number": "262-673-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "MICHELLE",
        "middle_name": "JAYEUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "337235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Krans
• Katie M Kratz
• Brittany Kruger, MOTR/L
• Peter J Kucharas, CRNA
• Marie Kujawa
• Peter Christian Labudde, DDS
• Kiran Ladhani
• Katelyn Marie Lam, LPN
• Lindsay L Lanser, NP
• Elise Large, PA-C

• Optometrist in Hartford, WI
• Providers in Hartford, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.

Verify at the official NPI Registry.