ANGELA J KWAK O.D.
NPI 1255564860
Optometrist in Anaheim, CA
About Angela J Kwak O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA J KWAK O.D. (NPI 1255564860) is an individual optometrist in Anaheim, California, licensed in California (13692OPT) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela J Kwak O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Kwak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Forest, CA 92630
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Hansra Optometric Corporation
- 34 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 92807 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANAHEIM, CA 92807
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 Angela Kwak's NPI number?
The NPI number for Angela Kwak is 1255564860. It was assigned to this individual provider in the NPPES registry on August 30, 2009.
Where is Angela Kwak located?
Angela Kwak practices at 500 S Anaheim Hills Rd Ste 234, Anaheim, CA 92807. The listed phone number is (800) 898-2020.
What is Angela Kwak's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Angela Kwak enrolled in Medicare?
Yes. Angela Kwak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Kwak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Kwak reassigns Medicare benefits to Tedder Optometric Corporation, PC (Lake Forest, CA). The 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 Angela Kwak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Kwak accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Angela 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 Angela Kwak was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angela J Kwak, O.D. · NPI 1255564860
Optometrist provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since August 30, 2009.
## Identity
- **NPI:** 1255564860 (Entity type: Individual)
- **Enumerated:** August 30, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 13692OPT (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 S ANAHEIM HILLS RD STE 234, Anaheim, CA 92807-4760
- **Phone:** (800) 898-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tedder Optometric Corporation, PC (NPI 1679262158, Lake Forest, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1255564860) · Data from the CMS NPPES public registry.