Individual provider Active NPI

John Somers Buist Dick II, MD

  • Ophthalmology Physician
  • Kahului, HI
National Provider Identifier
1083762918
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD6264 Issued in HI
Practice address
23 Paa St
Kahului, HI 96732-3606
Phone
(808) 877-8955
Fax
(808) 877-8957
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD6264 HI Primary

Addresses

Primary practice location

23 Paa St
Kahului, HI 96732-3606

Mailing address

PO Box 1300
Mailcode 61325
Honolulu, HI 96807-1300
Phone (808) 955-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625001412 HI Practitioner - Ophthalmology 7214953751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as individual
Quality
15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD6264HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Center for Sight LLC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

23 Paa St
Kahului, HI 96732
Phone (808) 674-2727

77-6403 Nalani St
Fl Second
Kailua Kona, HI 96740

75-167 Hualalai Rd
Ste 102
Kailua Kona, HI 96740
Phone (808) 430-1186

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1083762918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAILCODE 61325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323606",
            "telephone_number": "808-877-8955",
            "fax_number": "808-877-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "JOHN",
        "middle_name": "SOMERS BUIST",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD6264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.