Pediatric Ophthalmology Associates of Hawaii Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PEDIATRIC OPHTHALMOLOGY ASSOCIATES OF HAWAII INC

Practice address

1319 Punahou St
Suite 1030
Honolulu, HI 96826

Phone

(808) 942-5570

Fax

(808) 941-5577

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David A Young, MDNPI 1053469221

Title

President

Phone

(808) 942-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David Young MD Other name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 5

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

• David Andrew Young, MD

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1053469221
  Medicare reassignment Authorized official
• Tara Tagami, OD

  • Pediatric Optometrist
  • Honolulu, HI
  • NPI 1699459982
  Medicare reassignment NPD
• Nicole Yokoyama

  • Optometrist
  • Honolulu, HI
  • NPI 1255992996
  Medicare reassignment NPD
• Caryn Akie Uechi, O.D.

  • Optometrist
  • Honolulu, HI
  • NPI 1538478144
  Medicare reassignment
• Ken Nagamori, M.D.

  • Pediatric Adolescent Medicine Physician
  • Honolulu, HI
  • NPI 1952485146
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1063440923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-942-5570",
            "fax_number": "808-941-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-942-5570",
            "fax_number": "808-941-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY ASSOCIATES OF HAWAII INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-942-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54000601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Young MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Akemi Peck, LMHC, M.A.
• David J. Pedersen, PA-C
• Robert C. Pedersen, M.D.
• Pediatric Group of Honolulu, LLP
• Pediatric Medical Group, LLC
• Pediatric Orthotic and Prosthetic Services - Honolulu, LLC
• Pediatric Professionals, Inc.
• Pediatrics Associates, Inc.
• Pediatrics Associates, Inc.
• Pedodontic Associates Inc

• Ophthalmology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.