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SOM I KWON OD
NPI 1982200283
Optometrist in Suwanee, GA

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment
80 HORIZON DR STE 504-601A, SUWANEE, GA 30024(678) 990-2020(678) 990-2220 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, May 2, 2024, Dec 10, 2020 (3 updates tracked since 2020).

About Som I Kwon Od NPPES

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

SOM I KWON OD (NPI 1982200283) is an individual optometrist in Suwanee, Georgia, licensed in Georgia (OPT003356) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2020).

NPPES Registry Identity

NPI1982200283
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSOM I KWONCredential: OD
Location Address80 HORIZON DR STE 504-601ASuwanee, GA 30024-2936
Mailing Address80 Horizon Dr Ste 504-601aSuwanee, GA 30024-2936 · (678) 990-2020 · Fax (678) 990-2220
Phone(678) 990-2020
Fax(678) 990-2220
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2020
Enumeration DateDecember 10, 2020
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1982200283 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 GA · OPT003356
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.
80 HORIZON DR STE 504-601A, Suwanee, GA 30024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Som I Kwon Od 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 ID8729490537
PECOS Enrollment IDI20231220002422
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

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 2

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

VODA EYE GROUP, LLC
Optometrist
80 HORIZON DR STE 504-601A
SUWANEE, GA 30024
Gwinnett County (678) 999-3495
CAREPOINT GEORGIA LLC
Pharmacy (Community/Retail Pharmacy)
80 HORIZON DR STE 504-601A
SUWANEE, GA 30024
Gwinnett County (470) 655-2480

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 Som Kwon's NPI number?

The NPI number for Som Kwon is 1982200283. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Som Kwon located?

Som Kwon practices at 80 Horizon Dr Ste 504-601a, Suwanee, GA 30024. The listed phone number is (678) 990-2020.

What is Som Kwon's specialty?

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

Is Som Kwon enrolled in Medicare?

Yes. Som 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.

What insurance does Som Kwon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Som 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 Som Kwon was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.