Organization Active NPI

Lui, Lai & Associates, Inc

  • Optometrist
  • Kailua, HI
National Provider Identifier
1104012665
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD210 Issued in HI
Legal business name
LUI, LAI & ASSOCIATES, INC
Practice address
407 Uluniu St
Suite 109
Kailua, HI 96734-2519
Phone
(808) 262-4071
Fax
(808) 263-1063
NPI assigned
Sep 19, 2007
Organization subpart
Yes
Parent organization
LUI, LAI & ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Kristin K Shimabukuro, ODNPI 1326230194
Title
Associate
Phone
(808) 262-4071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD210 HI Primary

Addresses

Primary practice location

407 Uluniu St
Suite 109
Kailua, HI 96734-2519

Mailing address

407 Uluniu St
Suite 109
Kailua, HI 96734-2519
Phone (808) 262-4071

Other identifiers 1

IdentifierTypeStateIssuer
020184-01MedicaidHI

Other names 1

  • Mid Pacific Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000527 HI Part B Supplier - Clinic/Group Practice 8527959691 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Kailua, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lui Lai Associates Inc2 organizations share this tax ID, including this one
Part of
Lui Lai Associates Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1104012665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "SUITE 109",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-262-4071",
            "fax_number": "808-263-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "SUITE 109",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-262-4071",
            "fax_number": "808-263-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUI, LAI & ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUI, LAI & ASSOCIATES, INC",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "SHIMABUKURO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "808-262-4071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020184-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Pacific Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.