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DR. MICHELLE JAYEUN KWON O.D.
NPI 1447630744
Optometrist in Hartford, WI

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
1489 E SUMNER ST, HARTFORD, WI 53027(262) 673-7737(262) 673-7702 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2017, Apr 10, 2017 (2 updates tracked since 2017).

About Dr. Michelle Jayeun Kwon O.d. NPPES

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

DR. MICHELLE JAYEUN KWON O.D. (NPI 1447630744) is an individual optometrist in Hartford, Wisconsin, licensed in Wisconsin (337235) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1447630744
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHELLE JAYEUN KWONCredential: O.D.
Location Address1489 E SUMNER STHartford, WI 53027-2606
Mailing Address1489 E Sumner StHartford, WI 53027-2606 · (262) 673-7737 · Fax (262) 673-7702
Phone(262) 673-7737
Fax(262) 673-7702
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateApril 17, 20172 updates tracked since enumeration
✔ NPI 1447630744 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 WI · 337235
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.
1489 E SUMNER ST, Hartford, WI 53027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Dr. Michelle Jayeun 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.

PECOS PAC ID6204106180
PECOS Enrollment IDI20170726000567
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimal Vision Health, LLC
Same address
Optometrist
1489 E SUMNER ST
Hartford, WI 53027
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1215312343 (262) 673-7737
Provider Profile
21 mi
Optometrist
17495 W CAPITOL DR STE D
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group
NPI 1750406781 (262) 797-9638

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
24 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTIMAL VISION HEALTH, LLC
Optometrist
1489 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 673-7737

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 Michelle Kwon's NPI number?

The NPI number for Michelle Kwon is 1447630744. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Michelle Kwon located?

Michelle Kwon practices at 1489 E Sumner St, Hartford, WI 53027. The listed phone number is (262) 673-7737.

What is Michelle Kwon's specialty?

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

Is Michelle Kwon enrolled in Medicare?

Yes. Michelle 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.

Which organizations bill Medicare for Michelle Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kwon reassigns Medicare benefits to 2 organizations: Optimal Vision Health, LLC (Hartford, WI) and (Brookfield, WI). 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 Michelle Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Kwon 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 4 other insurers list Michelle 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 Michelle Kwon was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.