PAUL KWON AN OPTOMETRIC CORPORATION
NPI 1407383862
Optometrist in Hayward, CA

Q: What is Paul Kwon An Optometric Corporation's NPI number?

The NPI number for Paul Kwon An Optometric Corporation is 1407383862. It was assigned to this organization in the NPPES registry on May 16, 2017.

Q: What is Paul Kwon An Optometric Corporation's specialty?

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

Active since May 16, 2017

28505 HESPERIAN BLVD, HAYWARD, CA 94545(510) 732-6121 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2021, Apr 16, 2019, Sep 6, 2018 and 2 more (5 updates tracked since 2017).

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About Paul Kwon An Optometric Corporation NPPES

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

PAUL KWON AN OPTOMETRIC CORPORATION (NPI 1407383862) is a healthcare organization registered as an optometrist in Hayward, California and active in the NPI registry since May 2017. The organization maintains 2 additional practice locations and lists Soo Han Kwon, Owner, as its authorized official.

NPPES Registry Identity

NPI1407383862

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePAUL KWON AN OPTOMETRIC CORPORATION

Location Address28505 HESPERIAN BLVDHayward, CA 94545-5008

Mailing Address8438 Sheffield RdSan Gabriel, CA 91775-1825 · (818) 331-8601

Phone(510) 732-6121

Organization SubpartNo

Authorized OfficialSoo Han KwonOwner · (818) 331-8601

Enumeration DateMay 16, 2017

Last NPPES UpdateFebruary 23, 20215 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2021

✔ NPI 1407383862 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 · 14685TLG

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.

28505 HESPERIAN BLVD, Hayward, CA 94545

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Secondary Practice Locations 2

Location 17447 N Figueroa St Ste 200Los Angeles, CA 90041-1721 · Phone (181) 833-1860 · Fax (818) 331-8601

Location 21051 W Burbank BlvdBurbank, CA 91506-1421 · Phone (818) 331-8601

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Kwon An Optometric Corporation 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 Paul Kwon An Optometric Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Soo Han Kwon, O.D.

Optometry

NPI 1477994549

28505 HESPERIAN BLVD
Hayward, CA 94545

(510) 732-6121

✔ PECOS✔ Accepts MedicareSame 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 Paul Kwon An Optometric Corporation's NPI number?

The NPI number for Paul Kwon An Optometric Corporation is 1407383862. It was assigned to this organization in the NPPES registry on May 16, 2017.

Where is Paul Kwon An Optometric Corporation located?

Paul Kwon An Optometric Corporation is located at 28505 Hesperian Blvd, Hayward, CA 94545. The listed phone number is (510) 732-6121.

What is Paul Kwon An Optometric Corporation's specialty?

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

Is Paul Kwon An Optometric Corporation enrolled in Medicare?

Yes. Paul Kwon An Optometric Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul Kwon An Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Paul Kwon An Optometric Corporation. 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.

When was this NPI record last updated?

The NPPES record for Paul Kwon An Optometric Corporation was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.