Active NPI
Isaac J. Kaopua Jr., O.D.
- Optometrist
- Aiea, HI
National Provider Identifier
1104982768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000018895 | Other | HI | QUEST |
| 01759901 | Medicaid | HI | |
| 1889-5 | Other | HI | HAWAII 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 216 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants of Oahu, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants of Oahu LLC | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Waimanalo, HI
- NPI 1780738005
-
- Ophthalmology Physician
- Honolulu, HI
- NPI 1528693306
-
- Ophthalmology Physician
- Honolulu, HI
- NPI 1437697166
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.