IndividualActive
Miae Kwon, OD
NPI 1104599414 · Optometrist · Wichita, KS
Miae Kwon, OD is a Optometrist provider in Wichita, KS (NPI 1104599414).
Provider details
- NPI number
- 1104599414
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPC5972 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
Street-level locationGet directions
Mailing address
12302 E Lincoln Ct
Wichita, KS 67207-7001
Registry dates
- Enumerated
- 2021-08-01
- Last updated
- 2021-08-01
- Certified
- 2021-08-01
Frequently asked questions
- What is Miae Kwon's NPI number?
- Miae Kwon's National Provider Identifier (NPI) is 1104599414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miae Kwon's specialty?
- Miae Kwon is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Miae Kwon located?
- Miae Kwon's practice location on file with NPPES is 5500 E Kellogg Dr, Wichita, KS 67218-1607.
- What is Miae Kwon's phone number?
- The practice phone number listed in the NPPES registry for Miae Kwon is (316) 685-2221.
- Is Miae Kwon's NPI active?
- Yes — Miae Kwon's NPI (1104599414) is active in the NPPES registry as of the last update on 2021-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.