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

Individual provider Optometrist · NPI 1760611362

Tiffany Angie Kwon, OD is an Optometry in Charlottesville, Virginia. Graduated from State University of New York - State College Optometry in 2009, 17 years ago. Practices with Stephen T Basic III OD and Associates PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
17
Trained at
State University of New York - State College Optometry
Licensed in
NY, VA
In the registry since
2009
Specialties on file
2
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

2014 Calvary Cir Apt 201
Charlottesville, VA 22911-8469
Phone: (909) 569-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007421-1 (NY)
Optometrist Taxonomy 152W00000X · Licence 0618002533 (VA)

Record details

NPI number1760611362
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 6, 2009
Last updated in NPPESJanuary 17, 2017

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 2009 (17 years in practice)
Group practice Stephen T Basic Iii Od And Associates Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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