Active NPI
Optical Dispensers of Hilo, Inc
- Eyewear Supplier
- Hilo, HI
National Provider Identifier
1164579421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- OPTICAL DISPENSERS OF HILO, INC
- Practice address
- 1251 Kilauea Ave
190B
Hilo, HI 96720-4205 - Phone
- (808) 935-1957
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlton Fukunaga
- Title
- Presiden Manager
- Phone
- (808) 935-1957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | HI | Primary |
Addresses
Primary practice location
1251 Kilauea Ave
190B
Hilo, HI 96720-4205
Mailing address
1251 Kilauea Ave
190B
Hilo, HI 96720-4205
Phone (808) 935-1957
National Provider Directory
National Provider DirectoryLocations
1251 Kilauea Ave
Ste 190B
Hilo, HI 96720
Phone (808) 935-1957
1251 Kilauea Ave
Ste 192
Hilo, HI 96720
Phone (808) 935-1957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1164579421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 KILAUEA AVE",
"address_2": "190B",
"city": "HILO",
"state": "HI",
"postal_code": "967204205",
"telephone_number": "808-935-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 KILAUEA AVE",
"address_2": "190B",
"city": "HILO",
"state": "HI",
"postal_code": "967204205",
"telephone_number": "808-935-1957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL DISPENSERS OF HILO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "FUKUNAGA",
"authorized_official_first_name": "CARLTON",
"authorized_official_title_or_position": "PRESIDEN MANAGER",
"authorized_official_telephone_number": "808-935-1957"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 29, 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.