Raymond Charles Dean, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0120 Issued in HI

Practice address

111 Hekili St
Suite 108
Kailua, HI 96734

Phone

(808) 261-9735

Fax

(808) 261-9736

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013953132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST",
            "address_2": "SUITE 108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-261-9735",
            "fax_number": "808-261-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST",
            "address_2": "SUITE 108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-261-9735",
            "fax_number": "808-261-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "0120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05153401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Diane Davis
• Oakley M. Davis, M.D.
• Rachel Davis
• Charlotte Day
• Starr Alexzandria De Leon
• Taryn Elizabeth Dean, LCSW
• Leonarda Deguzman
• Jessica Marie Del Rosario, AMFT
• Arabelle Dela Cruz, PT, DPT
• Ashley Jean Malulani Dela Cruz

• Optometrist in Kailua, HI
• Providers in Kailua, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.