Active NPI
CHI Hae Kwan, O.D.
- Optometrist
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4311
- Practice address
- 1 Washington St
Suite 212
Wellesley, MA 02481-1711 - Phone
- (781) 237-6770
- Fax
- (617) 636-4866
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- 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 | 4311 | MA | Primary |
Addresses
Primary practice location
1 Washington St
Suite 212
Wellesley, MA 02481-1711
Mailing address
46 S Main St
Natick, MA 01760-4920
Phone (617) 216-5884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323438 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- New England College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Ophthalmology Associates, Inc | Current | Accepting new patients | |
| Pratt Ophthalmology Associates Inc | Current | Accepting new patients |
Locations
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
750 Washington St
Boston, MA 02111
Phone (617) 636-4600
750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800
1 Washington St
Ste 212
Wellesley Hills, MA 02481
Phone (781) 237-6770
Interoperability endpoints
- ckwan29565@tuftsmedicine.direct-ci.com
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
-
- Optician
- Brighton, MA
- NPI 1063531648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982669073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 S MAIN ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017604920",
"telephone_number": "617-216-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"address_2": "SUITE 212",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811711",
"telephone_number": "781-237-6770",
"fax_number": "617-636-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "CHI HAE",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323438",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.