Organization Active NPI

Arthur W. H. Loo, O.D., Inc.

  • Optometrist
  • Lihue, HI
National Provider Identifier
1073736153
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-254 Issued in HI
Legal business name
ARTHUR W. H. LOO, O.D., INC.
Practice address
3-2600 Kaumualii Hwy
Suite 1508
Lihue, HI 96766-2040
Phone
(808) 245-8564
Fax
(808) 245-8565
NPI assigned
Apr 10, 2007
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ARTHUR W. H. LOO, O.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Jere H. E. Loo, O.D.NPI 1962561324
Title
President
Phone
(808) 245-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-254 HI Primary

Addresses

Primary practice location

3-2600 Kaumualii Hwy
Suite 1508
Lihue, HI 96766-2040

Mailing address

3-2600 Kaumualii Hwy
Suite #1508
Lihue, HI 96766-2040
Phone (808) 245-8564

Other identifiers 2

IdentifierTypeStateIssuer
025937-01MedicaidHI
580929MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000306 HI Part B Supplier - Clinic/Group Practice 8123119245 Receives reassigned benefits from 1 practitioner
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory
Part of
Arthur W Hloo OD Inc

Locations

3-2600 Kaumualii Hwy
Ste 1508
Lihue, HI 96766
Phone (808) 245-8564

3-2600 Kaumualii Hwy
Ste C3
Lihue, HI 96766
Phone (808) 245-8564

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1073736153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-2600 KAUMUALII HWY",
            "address_2": "SUITE #1508",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662040",
            "telephone_number": "808-245-8564",
            "fax_number": "808-245-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-2600 KAUMUALII HWY",
            "address_2": "SUITE 1508",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662040",
            "telephone_number": "808-245-8564",
            "fax_number": "808-245-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR W. H. LOO, O.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARTHUR W. H. LOO, O.D., INC.",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "H. E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-245-8564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025937-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580929",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.