Eyewear Kona

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

SL40636 Issued in CA

Legal business name

EYEWEAR KONA

Practice address

75-167 Hualalai Rd
Kailua Kona, HI 96740-1714

Phone

(808) 329-9308

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Darcy Thompson, SL40636

Title

Ceo

Phone

(925) 525-1341

Specialties & licenses 1

Addresses

Other names 1

• Wilby Optical Kona Inc. Doing business as

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1093263162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-167 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-329-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-329-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR KONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-525-1341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SL40636"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "SL40636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilby Optical Kona Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramona Estrada, LMFT, CSAC
• Kimberly Evans, MAT 15556
• Evolve Medical Center, LLC
• Eye Center of Hawaii LLC
• Eyeland Wellness LLC
• Eyewear Kona Inc
• Facial808
• Family Support Hawaii
• Family Support Services - Kau
• Family Support Services of West Hawaii

• Customized Equipment (DME) in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Customized Equipment (DME) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.