Active NPI
Junmo Kwon, OD
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011989
- Practice address
- 1101 S Canal St Ste 108
Chicago, IL 60607-4940 - Phone
- (312) 588-0159
- NPI assigned
- Aug 6, 2025
- Last updated
- Aug 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011989 | IL | Primary |
Addresses
Primary practice location
1101 S Canal St Ste 108
Chicago, IL 60607-4940
Mailing address
2901 S Michigan Ave Apt 2008
Chicago, IL 60616-3462
Phone (312) 216-7142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19100 Ridgewood Pkwy
San Antonio, TX 78259-1828
19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001
2901 S Michigan Ave
Apt 2008
Chicago, IL 60616-3250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011989 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
1101 S Canal St
Ste 108
Chicago, IL 60607
Phone (312) 558-0159
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069
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": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1780569194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 S MICHIGAN AVE APT 2008",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163462",
"telephone_number": "312-216-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S CANAL ST STE 108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074940",
"telephone_number": "312-588-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "JUNMO",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.