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ANDREW KWON OD
NPI 1265365357
Optometrist in Bloomington, IN

Active since June 08, 2026PECOS Enrolled
744 E 3RD ST, BLOOMINGTON, IN 47405(812) 855-8436 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Kwon Od NPPES

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

ANDREW KWON OD (NPI 1265365357) is an individual optometrist in Bloomington, Indiana, licensed in Indiana (18004673) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2026).

NPPES Registry Identity

NPI1265365357
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDREW KWONCredential: OD
Location Address744 E 3RD STBloomington, IN 47405-3603
Mailing Address744 E 3rd StBloomington, IN 47405-3603 · (812) 855-8436
Phone(812) 855-8436
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2026
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1265365357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18004673
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 18004673A (IN)
744 E 3RD ST, Bloomington, IN 47405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Kwon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830661859
PECOS Enrollment IDI20260610003362
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LEAH GIBERSON OD
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
BRETT JOSEPH KING O.D.
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-1344
DR. TODD DAVID PEABODY O.D.
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
CIARA KNAPP
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
DR. KATIE SHULIST CONNOLLY O.D.
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
DR. SIDNEY ALDRIAN REYNES MAGDAONG OD
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
INDIANA UNIVERSITY
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436
DR. PETER S KOLLBAUM O.D.
Optometrist
744 E 3RD ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-8436

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 Andrew Kwon's NPI number?

The NPI number for Andrew Kwon is 1265365357. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Andrew Kwon located?

Andrew Kwon practices at 744 E 3rd St, Bloomington, IN 47405. The listed phone number is (812) 855-8436.

What is Andrew Kwon's specialty?

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

Is Andrew Kwon enrolled in Medicare?

Yes. Andrew Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Kwon was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.