KELLY KWON BISIGNANO (OD, MS) – Optometrist, NPI 1770318628

KELLY KWON BISIGNANO (OD, MS) is a healthcare provider. based in Houston, Texas. specializing in OPTOMETRY. They hold the professional credentials OD, MS. They hold a License No. 11099T (TX). The NPI Number for KELLY KWON BISIGNANO (OD, MS) is 1770318628

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KELLY KWON BISIGNANO (OD, MS)
NPI
1770318628
Phone
Not provided
Address
13110 RINCON DR
Enumeration Date
2 September 2024
Last Update Date
2 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3615734884
Graduation Year
2024 (2 years ago)
PAC ID
0143740670
Group Practice PAC ID
0648452045
Professional Enrollment ID
I20250226003988
Address ID
TX779042600VI8306XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for KELLY KWON BISIGNANO (OD, MS)

  • 13110 RINCON DR

    HOUSTON, TX 770773604

    Phone:

    Type: Mailing

  • 8306 N NAVARRO ST

    VICTORIA, TX 779042600

    Phone: (361) 573-4884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,476.

Total Amount is formed as General ($1,476) + Research ($0) + Ownership ($0) = $1,476.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alcon Vision LLC ($1,306).

Total Amount

$1,476

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250226003988IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77077)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648452045View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

How do I look up KELLY KWON BISIGNANO (OD, MS) by NPI?
Use NPI 1770318628 when you need to reference KELLY KWON BISIGNANO (OD, MS) in forms, claims, or directories.
Does this profile mean KELLY KWON BISIGNANO (OD, MS) is currently active?
Yes — KELLY KWON BISIGNANO (OD, MS) appears active in the national provider directory.
Does KELLY KWON BISIGNANO (OD, MS) list a primary specialty?
If you are matching referrals, note Optometrist for KELLY KWON BISIGNANO (OD, MS). Clinical services aligned with this taxonomy classification.
What location shows for KELLY KWON BISIGNANO (OD, MS)?
We surface Houston, Texas for KELLY KWON BISIGNANO (OD, MS) based on available NPPES addresses.
What if Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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