DOAN TRANG KWAK OD
NPI 1093060444
Optometrist in Philadelphia, PA
About Doan Trang Kwak Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOAN TRANG KWAK OD (NPI 1093060444) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG002671) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Doan Trang Kwak Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Doan Trang Kwak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 335 clinicians in this Medicare group
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Salus University
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19141
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 Doan Trang Kwak's NPI number?
The NPI number for Doan Trang Kwak is 1093060444. It was assigned to this individual provider in the NPPES registry on July 20, 2012.
Where is Doan Trang Kwak located?
Doan Trang Kwak practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.
What is Doan Trang Kwak's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Doan Trang Kwak enrolled in Medicare?
Yes. Doan Trang Kwak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Doan Trang Kwak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Doan Trang Kwak reassigns Medicare benefits to 2 organizations: Drexel University (Philadelphia, PA) and Drexel University (Philadelphia, PA). Each 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 Doan Trang Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Doan Trang Kwak 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 11 other insurers list Doan Trang Kwak 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 Doan Trang Kwak was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Doan Trang Kwak, OD · NPI 1093060444
Optometrist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 20, 2012.
## Identity
- **NPI:** 1093060444 (Entity type: Individual)
- **Enumerated:** July 20, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG002671 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 W GODFREY AVE, Philadelphia, PA 19141-3323
- **Phone:** (215) 276-6000 · **Fax:** (215) 276-1329
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Drexel University (NPI 1336160027, Philadelphia, PA); Drexel University (NPI 1336160027, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2012
## Record status
- **NPPES last updated:** March 19, 2018
- **Other identifiers:** Other OEG002671 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1093060444) · Data from the CMS NPPES public registry.