Individual provider Active NPI

Isaac J. Kaopua Jr., O.D.

  • Optometrist
  • Aiea, HI
National Provider Identifier
1104982768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
216 Issued in HI
Practice address
98-1247 Kaahumanu St
Suite #116
Aiea, HI 96701-5311
Phone
(808) 488-4000
Fax
(808) 488-7667
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 216 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St
Suite #116
Aiea, HI 96701-5311

Mailing address

98-1247 Kaahumanu St
Suite #116
Aiea, HI 96701-5311
Phone (808) 488-4000

Other identifiers 3

IdentifierTypeStateIssuer
0000018895OtherHIQUEST
01759901MedicaidHI
1889-5OtherHIHAWAII MEDICAL SERVICE AS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000775 HI Practitioner - Optometry 3274558838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waimanalo Health CenterGroup PAC ID 8527029198, 27 clinicians

Practice addresses (Care Compare)

41 1347 Kalanianaole
Waimanalo, HI 96795-1247

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 259-7948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants of Oahu, a Professional Corporation Optometrist CurrentSince Oct 10, 2022 Accepting new patients
Ophthalmology Consultants of Oahu LLC CurrentSince Oct 10, 2022 Accepting new patients

Locations

6600 Kalanianaole Hwy
Ste 114C
Honolulu, HI 96825
Phone (808) 373-9373

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: isaac.kaopuajr.p1@direct.waimanalohealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104982768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE #116",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-488-4000",
            "fax_number": "808-488-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE #116",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-488-4000",
            "fax_number": "808-488-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOPUA",
        "first_name": "ISAAC",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST",
            "identifier": "0000018895",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE AS",
            "identifier": "1889-5",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.