DR. DEREK KWON OPTOMETRY, INC
NPI 1013174333
Optometrist in Anaheim, CA

Q: What is Dr. Derek Kwon Optometry, Inc's NPI number?

The NPI number for Dr. Derek Kwon Optometry, Inc is 1013174333. It was assigned to this organization in the NPPES registry on May 22, 2008.

Q: What is Dr. Derek Kwon Optometry, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 22, 2008

731 N EUCLID ST, ANAHEIM, CA 92801(714) 533-8240 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Derek Kwon Optometry, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK KWON OPTOMETRY, INC (NPI 1013174333) is a healthcare organization registered as an optometrist in Anaheim, California and active in the NPI registry since May 2008. The organization lists Soonsi Kwon, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1013174333

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR. DEREK KWON OPTOMETRY, INC

Location Address731 N EUCLID STAnaheim, CA 92801-4116

Mailing Address731 N Euclid StAnaheim, CA 92801-4116

Phone(714) 533-8240

Organization SubpartNo

Authorized OfficialSoonsi KwonOptometrist · (714) 533-8240

Enumeration DateMay 22, 2008

Last NPPES UpdateMay 5, 2010

✔ NPI 1013174333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 11681T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

731 N EUCLID ST, Anaheim, CA 92801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Kwon Optometry, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Derek Kwon Optometry, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derek Kwon, OD

Optometry

NPI 1487732509

731 N EUCLID ST
Anaheim, CA 92801

(714) 533-8240

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Derek Kwon Optometry, Inc's NPI number?

The NPI number for Dr. Derek Kwon Optometry, Inc is 1013174333. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Dr. Derek Kwon Optometry, Inc located?

Dr. Derek Kwon Optometry, Inc is located at 731 N Euclid St, Anaheim, CA 92801. The listed phone number is (714) 533-8240.

What is Dr. Derek Kwon Optometry, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr. Derek Kwon Optometry, Inc enrolled in Medicare?

Yes. Dr. Derek Kwon Optometry, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Derek Kwon Optometry, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Derek Kwon Optometry, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. Derek Kwon Optometry, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Dr. Derek Kwon Optometry, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Derek Kwon Optometry, Inc was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.