Organization Active NPI

Eyewear Hawaii, Inc.

  • Optician
  • Hilo, HI
National Provider Identifier
1124141494
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DIO-40 Issued in HI
Legal business name
EYEWEAR HAWAII, INC.
Practice address
899 Ululani St Ste 2
Hilo, HI 96720-3981
Phone
(808) 935-1119
Fax
(808) 935-1779
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gilbert C. Dakujaku, OPTICIAN
Title
Manager
Phone
(808) 935-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DIO-40 HI Primary

Addresses

Primary practice location

899 Ululani St Ste 2
Hilo, HI 96720-3981

Mailing address

899 Ululani St Ste 2
Hilo, HI 96720-3981
Phone (808) 935-1119

Other identifiers 2

IdentifierTypeStateIssuer
D46294OtherHIHMSA
08127801MedicaidHI

Other names 1

  • Eyewear Hawaii, Inc.- Hilo Other name

National Provider Directory

National Provider Directory
Tax ID family
Eyewear Hawaii Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124141494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 ULULANI ST STE 2",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203981",
            "telephone_number": "808-935-1119",
            "fax_number": "808-935-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 ULULANI ST STE 2",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203981",
            "telephone_number": "808-935-1119",
            "fax_number": "808-935-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR HAWAII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAKUJAKU",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-935-1119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "DIO-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "D46294",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08127801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Hawaii, Inc.- Hilo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.