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Active NPI 1760611362 Individual Practitioner Female Practitioner

Dr. Tiffany Angie Kwon , OD

Optometrist • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Kwon, OD is a certified Optometrist practicing in Charlottesville, VA. With approximately 17 years of clinical experience since graduating from State University Of New York - State College Optometry in 2009, Dr. Kwon delivers high-quality medical care to the local community at 2014 CALVARY CIR APT 201.

Dr. Kwon is affiliated with Stephen T Basic Iii Od And Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2014 Calvary Cir Apt 201

Charlottesville, VA 229118469

Telephone 9095699290

Medicare Profile & Education

Medical School

State University Of New York - State College Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Charlottesville, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -3.3 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Charlottesville, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kwon (17 Years) 17 Yrs
Charlottesville Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
58 58 $205.00 $121.86
92250 Photography of the retina
37 37 $90.00 $35.79
92004 New patient complete exam of visual system
30 30 $245.00 $144.41
99213 Established patient office or other outpatient visit, typically 15 minutes
19 14 $105.00 $87.86

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV007421-1

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License VA 0618002533

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03179962 (NY)

Hospital & Practice Group Affiliations

Stephen T Basic Iii Od And Associates Pllc

1114 Emmet St N, Charlottesville, VA 229034841

Phone: 4349712020

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2017

Registered at 2014 CALVARY CIR APT 201, CHARLOTTESVILLE, VA 229118469 (Tel: 9095699290)

📍
Updated Business Mailing Address January 17, 2017

Registered at 2014 CALVARY CIR APT 201, CHARLOTTESVILLE, VA 229118469 (Tel: 9095699290)

👤
Provider Name / Credentials Updated January 17, 2017

Recorded as TIFFANY KWON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Optometrist (License #0618002533 in VA)

NPI Profile Active July 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2009

Registered at 2425 27TH ST, APT 1-1, ASTORIA, NY 111022327 (Tel: 9095699290)

📍
Updated Business Mailing Address July 06, 2009

Registered at 2425 27TH ST, APT 1-1, ASTORIA, NY 111022327 (Tel: 9095699290)

👤
Provider Name / Credentials Updated July 06, 2009

Recorded as TIFFANY LAU, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2009

Optometrist (License #TUV007421-1 in NY)

🟢
Initial NPI Registration & Enumeration July 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760611362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2009
Last Update: January 17, 2017
Sole Proprietor: No

Mailing Address

2014 Calvary Cir Apt 201

Charlottesville, VA 229118469

Phone: 9095699290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.