DR. SOO HAN KWON O.D.
NPI 1477994549
Optometrist in Hayward, CA

Q: What is Soo Han Kwon's NPI number?

The NPI number for Soo Han Kwon is 1477994549. It was assigned to this individual provider in the NPPES registry on July 17, 2013. The provider is also known as Paul Soo Han Kwon Od.

Q: What is Soo Han Kwon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soo Han Kwon was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2021, Feb 23, 2021, Sep 6, 2018 and 2 more (5 updates tracked since 2017).

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About Dr. Soo Han Kwon O.d. NPPES

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

DR. SOO HAN KWON O.D. (NPI 1477994549) is an individual optometrist in Hayward, California, licensed in California (14685) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Southern California College Of Optometry (2013).

NPPES Registry Identity

NPI1477994549

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SOO HAN KWONCredential: O.D.

Location Address28505 HESPERIAN BLVDHayward, CA 94545-5008

Mailing Address28505 Hesperian BlvdHayward, CA 94545-5008 · (510) 921-3139

Phone(510) 732-6121

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2013

Enumeration DateJuly 17, 2013

Last NPPES UpdateOctober 7, 20215 updates tracked since enumeration

NPPES CertifiedOctober 7, 2021

✔ NPI 1477994549 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 · 14685

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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Other Names 1

Other Name (5)Paul Soo Han Kwon Od

Secondary Practice Locations 3

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

Location 21145 Stanley Ave Apt 4Glendale, CA 91206-4532 · Phone (818) 331-8601

Location 31051 W Burbank BlvdBurbank, CA 91506 · Phone (181) 833-1860

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. Soo Han 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 ID3870834435

PECOS Enrollment IDI20190409002907

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.

Areas of Expertise CMS Part B claims 3

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.

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.

35 services35 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

32 services31 patients

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.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94545 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 7

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

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