Individual provider Active NPI

CHI Hae Kwan, O.D.

  • Optometrist
  • Wellesley, MA
National Provider Identifier
1982669073
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4311 Issued in MA
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

Updated by the provider on Jul 13, 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 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

IdentifierTypeStateIssuer
0323438MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031122000059 MA Practitioner - Optometry 5597669341 Reassigns benefits to 1 organization

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
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

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

LicenseStateTypeSpecialty
4311MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 1, 2004 Accepting new patients
Pratt Ophthalmology Associates Inc CurrentSince Jul 1, 2004 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.