Organization Active NPI

Eyeland Eyedoc LLC

  • Optometrist
  • Hilo, HI
National Provider Identifier
1003133554
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-691 Issued in HI
Legal business name
EYELAND EYEDOC LLC
Practice address
305 Wailuku Dr Ste 4
Hilo, HI 96720-2488
Phone
(808) 933-4777
Fax
(877) 983-4777
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mealiinani C. Duarte-Hernandez, ODNPI 1679721856
Title
Optometrist
Phone
(808) 933-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD-691 HI Primary

Addresses

Primary practice location

305 Wailuku Dr Ste 4
Hilo, HI 96720-2488

Mailing address

PO Box 707
Kealakekua, HI 96750-0707
Phone (808) 933-4777

Other practice location 1

81-6587 Mamalahoa Highway #B201
Kealakekua, HI 96750
Phone (808) 326-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100621000102 HI Part B Supplier - Clinic/Group Practice 3870623747 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI; Kealakekua, HI

National Provider Directory

National Provider Directory

Locations

305 Wailuku Dr
Ste 4
Hilo, HI 96720
Phone (808) 933-4777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1003133554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967500707",
            "telephone_number": "808-933-4777",
            "fax_number": "877-983-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAILUKU DR STE 4",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202488",
            "telephone_number": "808-933-4777",
            "fax_number": "877-983-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81-6587 Mamalahoa Highway #B201",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "96750",
            "country_code": "US",
            "telephone_number": "808-326-4777",
            "fax_number": "877-983-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYELAND EYEDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DUARTE-HERNANDEZ",
        "authorized_official_first_name": "MEALIINANI",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "808-933-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.