Active NPI
Krystle Lane Valencia, LDO
- Optician
- Pearl City, HI
National Provider Identifier
1124965595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DIO-450
- Practice address
- 1131 Kuala St
Pearl City, HI 96782-2886 - Phone
- (808) 454-8796
- NPI assigned
- May 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DIO-450 | HI | Primary |
Addresses
Primary practice location
1131 Kuala St
Pearl City, HI 96782-2886
Mailing address
1131 Kuala St
Pearl City, HI 96782-2886
Phone (808) 454-8796
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DIO-450 | HI | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1124965595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 KUALA ST",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822886",
"telephone_number": "808-454-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 KUALA ST",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822886",
"telephone_number": "808-454-8796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "KRYSTLE LANE",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-02",
"last_updated": "2026-05-02",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "HI",
"license": "DIO-450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl City, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.