Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jiyong Jennifer Kwon, OD

Individual provider Optometrist · NPI 1104981489

Dr. Jiyong Jennifer Kwon, OD is an Optometry in New York, New York. Graduated from State University of New York - State College Optometry in 1997, 29 years ago. Practices with Paul Naftali O D P A, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Virginia.

Years since qualifying
29
Trained at
State University of New York - State College Optometry
Licensed in
NJ, NY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

542 Laguardia Pl
New York, NY 10012-1458
Phone: (212) 767-9465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5887 (NY)
Optometrist Taxonomy 152W00000X · Licence 27OA005657 (NJ)
Optometrist Taxonomy 152W00000X · Licence 0618001700 (VA)

Record details

NPI number1104981489
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 1997 (29 years in practice)
Group practice Paul Naftali O D P A — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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