Organization Active NPI

Optical Dispensers of Hilo, Inc

  • Eyewear Supplier
  • Hilo, HI
National Provider Identifier
1164579421
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.