Neal M. Kubo O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-391 Issued in HI

Legal business name

NEAL M. KUBO O.D. INC.

Practice address

94-300 Farrington Hwy
Suite E2
Waipahu, HI 96797-2648

Phone

(808) 677-2333

Fax

(808) 677-2313

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Neal M Kubo, ODNPI 1205880804

Title

Member

Phone

(808) 677-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

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

• Neal Mamoru Kubo, O.D.

  • Optometrist
  • Waipahu, HI
  • NPI 1205880804
  Medicare reassignment NPD Authorized official
• Christine M Ewing, OD

  • Optometrist
  • Waipahu, HI
  • NPI 1437196466
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1053786079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29690",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202090",
            "telephone_number": "808-677-2333",
            "fax_number": "808-677-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY",
            "address_2": "SUITE E2",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-677-2333",
            "fax_number": "808-677-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL M. KUBO O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "KUBO",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-677-2333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OD-391",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Nasarenko
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• Amy Neal, LAC
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• Howard Neudorf

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.