Organization Active NPI

Manila Optical Inc

  • Optician
  • Waipahu, HI
National Provider Identifier
1083328439
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MANILA OPTICAL INC
Practice address
94-340 Waipahu Depot St
Waipahu, HI 96797-3006
Phone
(808) 671-1234
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Venerando GatdulaNPI 1144460395
Title
Owner
Phone
(808) 469-7690

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

94-340 Waipahu Depot St
Waipahu, HI 96797-3006

Mailing address

94-340 Waipahu Depot St
Waipahu, HI 96797-3006
Phone (808) 671-1234

National Provider Directory

National Provider Directory

Locations

94-340 Waipahu Depot St
Waipahu, HI 96797
Phone (808) 671-1234

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1083328439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-340 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973006",
            "telephone_number": "808-671-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-340 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973006",
            "telephone_number": "808-671-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GATDULA",
        "authorized_official_first_name": "VENERANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-469-7690"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.