Individual provider Active NPI

Cristalle Kwok, OD

  • Optometrist
  • Riverside, CA
National Provider Identifier
1801618103
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35870 Issued in CA
Practice address
2711 Canyon Springs Pkwy Ste 103
Riverside, CA 92507-0942
Phone
(951) 583-1820
Fax
(951) 618-7116
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35870 CA Primary

Addresses

Primary practice location

2711 Canyon Springs Pkwy Ste 103
Riverside, CA 92507-0942

Mailing address

13482 Misty Meadow CT
Chino Hills, CA 91709-1224
Phone (650) 995-3495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tedder Optometry Group, PC Optometrist Past Accepting new patients
Visionary Retail Management Ca, Inc Past Accepting new patients
Visionary Retail Management Ca, Inc PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1801618103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13482 MISTY MEADOW CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091224",
            "telephone_number": "650-995-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CANYON SPRINGS PKWY STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070942",
            "telephone_number": "951-583-1820",
            "fax_number": "951-618-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "CRISTALLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.