DEREK SOON KWON OD
NPI 1487732509
Optometrist in Anaheim, CA
About Derek Soon Kwon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK SOON KWON OD (NPI 1487732509) is an individual optometrist in Anaheim, California, licensed in California (11681T) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Derek Soon Kwon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92801
- Reassigned Medicare billing, California enrollment
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 92801 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.
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 Derek Kwon's NPI number?
The NPI number for Derek Kwon is 1487732509. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Derek Kwon located?
Derek Kwon practices at 731 N Euclid St, Anaheim, CA 92801. The listed phone number is (714) 533-8240.
What is Derek Kwon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Derek Kwon enrolled in Medicare?
Yes. Derek Kwon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Kwon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Kwon reassigns Medicare benefits to Dr. Derek Kwon Optometry, Inc (Anaheim, 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 Derek Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek 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 1 other insurer list Derek 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 Derek Kwon was last updated on August 12, 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.
# Derek Soon Kwon, OD · NPI 1487732509
Optometrist provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1487732509 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11681T (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 731 N EUCLID ST, Anaheim, CA 92801-4116
- **Phone:** (714) 533-8240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dr. Derek Kwon Optometry, Inc (NPI 1013174333, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487732509) · Data from the CMS NPPES public registry.