Individual provider Active NPI

Brian Kiyoshi Nakano, D.O.

  • Optician
  • Kihei, HI
National Provider Identifier
1114045838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DIO-78 Issued in HI
Practice address
380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043
Phone
(808) 879-8544
Fax
(808) 874-3899
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

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
Optician 156FX1800X DIO-78 HI Primary

Addresses

Primary practice location

380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043

Mailing address

380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043
Phone (808) 879-8544

Other identifiers 1

IdentifierTypeStateIssuer
0000009233OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DIO-78HIMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Gallery Inc PastSince Jan 15, 2009 Accepting new patients
Diane Santesson OD Inc Past Accepting new patients

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114045838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "STE. 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-879-8544",
            "fax_number": "808-874-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "STE. 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-879-8544",
            "fax_number": "808-874-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKANO",
        "first_name": "BRIAN",
        "middle_name": "KIYOSHI",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "DIO-78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000009233",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.