| Robert O Kwon, MD | |
|
360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 | |
| (978) 688-6182 | |
| (978) 689-0731 |
| Full Name | Robert O Kwon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 21 Years |
| Location | 360 Merrimack St, Lawrence, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437193844 | NPI | - | NPPES |
| 110083181A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 239501 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence General Hospital | Lawrence, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Eye Consultants, Llc | 2264964774 | 6 |
| Tallman Eye Associates Pc | 3577501063 | 15 |
| Tallman Eye Whittier | 3678982352 | 9 |
| Tallman Eye Bidco | 7315236866 | 9 |
| Entity Name | Mark A. Latina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508839291 PECOS PAC ID: 2567435019 Enrollment ID: O20040813000811 |
| Entity Name | Tallman Eye Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194833467 PECOS PAC ID: 3577501063 Enrollment ID: O20050425000836 |
| Entity Name | Tallman Eye Bidco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033419072 PECOS PAC ID: 7315236866 Enrollment ID: O20160523001756 |
| Entity Name | Tallman Eye Whittier |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639768229 PECOS PAC ID: 3678982352 Enrollment ID: O20210510001869 |
| Entity Name | Mark A Latina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619413069 PECOS PAC ID: 2365814514 Enrollment ID: O20230216000190 |
| Entity Name | Specialty Eye Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912753724 PECOS PAC ID: 2264964774 Enrollment ID: O20241022000550 |
| Entity Name | Specialty Eye Consultants 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245079722 PECOS PAC ID: 4880115682 Enrollment ID: O20250310002403 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert O Kwon, MD 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 Ph: (978) 688-6182 | Robert O Kwon, MD 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 Ph: (978) 688-6182 |
Cynthia L Deangelis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Thomas P Pappavaselio, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6185 Fax: 978-689-0731 | |
Dr. Davinder S Nagra, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 280 Haverhill St, Lawrence, MA 01840 Phone: 978-685-5366 Fax: 978-685-4867 | |
Carter B Tallman, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Samuel D Allen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Dr. Kenneth L Macoul, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 280 Haverhill St, Lawrence, MA 01840 Phone: 978-685-5366 Fax: 978-685-4867 |