Active NPI
Eyewear Kona Inc
- Optician
- Kailua Kona, HI
National Provider Identifier
1043376742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DIO91
- Legal business name
- EYEWEAR KONA INC
- Practice address
- 75167 Hualalai Road
Kailua Kona, HI 96740 - Phone
- (808) 329-9308
- Fax
- (808) 329-9309
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alvin Tsuyoshi Fujimoto, OPTICIAN
- Title
- President
- Phone
- (808) 329-9308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DIO91 | HI | Primary |
Addresses
Primary practice location
75167 Hualalai Road
Kailua Kona, HI 96740
Mailing address
PO Box 640
75167 Hualalai Road
Kailua Kona, HI 96745
Phone (808) 329-9308
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1977632 | Other | HI | UHA |
| 56978301 | Medicaid | HI | |
| 253740 | Other | HI | HMSA |
| 0000253740 | Other | HI | QUEST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043376742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"address_2": "75167 HUALALAI ROAD",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "96745",
"telephone_number": "808-329-9308",
"fax_number": "808-329-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75167 HUALALAI ROAD",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-329-9308",
"fax_number": "808-329-9309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEWEAR KONA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FUJIMOTO",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "TSUYOSHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-329-9308",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "HI",
"license": "DIO91",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "1977632",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56978301",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "253740",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEST",
"identifier": "0000253740",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.