Active NPI
Calvin Alonzo, O.D.
- Optometrist
- Honolulu, HI
National Provider Identifier
1033291968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD573
- Practice address
- 405 N Kuakini St
Ste 605
Honolulu, HI 96817-6302 - Phone
- (808) 847-7222
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD573 | HI | Primary |
Addresses
Primary practice location
405 N Kuakini St
Ste 605
Honolulu, HI 96817-6302
Mailing address
405 N Kuakini St
Ste 605
Honolulu, HI 96817-6302
Phone (808) 677-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52648601 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000306 | HI | Practitioner - Optometry | 3779472212 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
94 -428 Mokuola St
Suite 102
Waipahu, HI 96797-3396
Phone (808) 677-7222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD573 | HI | MD | Optometrist |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1033291968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "STE 605",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176302",
"telephone_number": "808-677-7222",
"fax_number": "808-677-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "STE 605",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176302",
"telephone_number": "808-847-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONZO",
"first_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "OD573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52648601",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.