Alex C Kwon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60188658 Issued in WA

Practice address

673 Amds 5955 Zeamer Ave
Jber, AK 99506

Phone

(907) 580-1150

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C Fast Optometry, Inc. P.S.

  • Optometrist
  • Seattle, WA
  • NPI 1043577968
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1992952048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039219",
            "telephone_number": "206-634-3375",
            "fax_number": "206-634-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 AMDS 5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ALEX",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "688",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60188658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Koliadko, DDS
• Yamah Kone
• Robert Lewis Konold, M.D.
• Amanda Michelle Kruszewski, PSYD
• Kimberly D Kumer, MD
• Marjorie Teresa Kyle, PSY.D.
• Elizabeth Sharma Lafleur, MD
• Meredith Leigh Lane, MD
• Joseph Armand Larouche, D.O.
• Brian Daniel Larson, M.D.

• Optometrist in Jber, AK
• Providers in Jber, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.