DR. JIYONG JENNIFER KWON O.D.
NPI 1104981489
Optometrist in New York, NY
About Dr. Jiyong Jennifer Kwon O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIYONG JENNIFER KWON O.D. (NPI 1104981489) is an individual optometrist in New York, New York, licensed in New York (5887) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1997).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jiyong Jennifer Kwon O.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10012 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jiyong Kwon's NPI number?
The NPI number for Jiyong Kwon is 1104981489. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Jiyong Kwon located?
Jiyong Kwon practices at 542 Laguardia Pl, New York, NY 10012. The listed phone number is (212) 767-9465.
What is Jiyong Kwon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jiyong Kwon enrolled in Medicare?
Yes. Jiyong Kwon 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.
What insurance does Jiyong Kwon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Jiyong Kwon 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 Jiyong Kwon was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Dr. Jiyong Jennifer Kwon, O.D. · NPI 1104981489
Optometrist provider in New York, New York. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1104981489 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5887 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 542 LAGUARDIA PL, New York, NY 10012-1458
- **Phone:** (212) 767-9465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** State University Of New York - State College Optometry, class of 1997
## Record status
- **NPPES last updated:** December 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104981489) · Data from the CMS NPPES public registry.