DR. SAM CHADWELL KANG O.D. (OPTOMETRIST)
NPI 1922088038
Optometrist in Cedar Rapids, IA

Q: What is Sam Kang's NPI number?

The NPI number for Sam Kang is 1922088038. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Sam Kang'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 Sam Kang was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 17, 2006PECOS EnrolledAccepts Medicare Assignment

3601 29TH AVE SW, CEDAR RAPIDS, IA 52404(319) 390-9969 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Sam Chadwell Kang O.d. (optometrist) NPPES

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

DR. SAM CHADWELL KANG O.D. (OPTOMETRIST) (NPI 1922088038) is an individual optometrist in Cedar Rapids, Iowa, licensed in Iowa (02295) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1922088038

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SAM CHADWELL KANGCredential: O.D. (OPTOMETRIST)

Location Address3601 29TH AVE SWCedar Rapids, IA 52404-3109

Mailing Address3601 29th Ave SwCedar Rapids, IA 52404-3109 · (319) 390-9969

Phone(319) 390-9969

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJune 27, 2008

✔ NPI 1922088038 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 IA · 02295

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.

3601 29TH AVE SW, Cedar Rapids, IA 52404

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINV04626IA

Medicare ID-Type UnspecifiedI14989IA · Optometry

OtherWELLMARK 38635IA · Optometry

Medicare PINI14989IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Sam Chadwell Kang O.d. (optometrist) 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 ID4183662729

PECOS Enrollment IDI20050422000854

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.

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.

66 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52404 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

WALMART INC.

Pharmacy (Community/Retail Pharmacy)