Individual provider Active NPI

Mark Kevin Bryant, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1093939746
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-1022 Issued in HI
Practice address
1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437
Phone
(808) 955-0255
Fax
(808) 955-4155
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-1022 HI Primary

Addresses

Primary practice location

1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437

Mailing address

1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437
Phone (808) 955-0255

Other identifiers 1

IdentifierTypeStateIssuer
223434930OtherNJTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090630000020 NY Practitioner - Optometry 6103977301 Practice locations: New York, NY
I20110602000344 NJ Practitioner - Optometry 6103977301
I20241111000077 HI Practitioner - Optometry 6103977301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Retina Institute of Hawaii LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Mark K. Bryant Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

91-803 Papipi Rd
Ewa Beach, HI 96706
Phone (808) 689-7911

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

94-216 Farrington Hwy
Ste B2203
Waipahu, HI 96797
Phone (808) 621-8448

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Hawaii LLC 6 clinicians

Practice addresses (Care Compare)

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437
Phone (808) 955-0255

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1093939746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "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": "1620 ALA MOANA BLVD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "223434930",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.