Active NPI
Big Island Optical Inc
- Eyewear Supplier
- Kamuela, HI
National Provider Identifier
1093908089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08402801 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Big Island Optical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Hilo, HI
- NPI 1528008208
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
- Nicole Marie Berinobis, LMT
- Heather Berry, ATC
- Amber Lynn Bhamra, APN
- Yashoda Bhaskar, M.D.
- Big Island Endoscopy Center, LLC
- Big Island Psychiatry LLC (Big Island Psychiatry)
- Robin M Birdsong, MA
- Fabienne Bisaro, M.F.T.
- Bodypro Occupational Therapy
- Bodypro Physical Therapy Inc (Bodypro Physical Therapy)
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.