Individual provider Active NPI

Iris CHI-Ting Kwong, OD

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1548741929
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34075TLG Issued in CA
Practice address
2855 Stevens Creek Blvd
Santa Clara, CA 95050-6709
Phone
(408) 243-9394
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34075TLG CA Primary

Addresses

Primary practice location

2855 Stevens Creek Blvd
Santa Clara, CA 95050-6709

Mailing address

29238 Chutney Rd
Hayward, CA 94544-8711
Phone (510) 881-3633

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190503000664 CA Practitioner - Optometry 6507108925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Showers Dr
Suite 700
Mountain View, CA 94040-1434
Phone (650) 770-7677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34075CAMDClinical Psychologist
34075TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Kwong an Optometric Corporation Optometrist CurrentSince Nov 21, 2023 Accepting new patients
Kwong and Tran, Optometrists, an Optometric Corporation Optometrist CurrentSince Feb 14, 2025 Accepting new patients

Locations

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

1599 Berryessa Rd
Ste 30
San Jose, CA 95133
Phone (510) 881-3633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1548741929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29238 CHUTNEY RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945448711",
            "telephone_number": "510-881-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 STEVENS CREEK BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506709",
            "telephone_number": "408-243-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "IRIS",
        "middle_name": "CHI-TING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34075TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.