Organization Active NPI

Big Island Optical Inc

  • Eyewear Supplier
  • Kamuela, HI
National Provider Identifier
1093908089
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BIG ISLAND OPTICAL INC
Practice address
64-1032 Mamalahoa Hwy
Unit 1a
Kamuela, HI 96743
Phone
(808) 887-1973
Fax
(808) 881-8578
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mark Takeo Hironaga, LICENSE OPTICIAN
Title
President
Phone
(808) 935-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X HI Primary

Addresses

Primary practice location

64-1032 Mamalahoa Hwy
Unit 1a
Kamuela, HI 96743

Mailing address

64-1032 Mamalahoa Hwy
Unit 1a
Kamuela, HI 96743
Phone (808) 887-1973

Other identifiers 1

IdentifierTypeStateIssuer
08402801MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Big Island Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

64-1032 Mamalahoa Hwy
Unit 1A
Kamuela, HI 96743
Phone (808) 887-1973

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1093908089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "UNIT 1A",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-887-1973",
            "fax_number": "808-881-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "UNIT 1A",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-887-1973",
            "fax_number": "808-881-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRONAGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TAKEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-935-1360",
        "authorized_official_credential": "LICENSE OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08402801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.