Active NPI
Kenneth J. Fischer, O.D.
- Optometrist
- Kamuela, HI
National Provider Identifier
1205884152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 121
- Practice address
- 65-1227 Opelo Rd
Kamuela, HI 96743-8401 - Phone
- (808) 885-4000
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 121 | HI | Primary |
Addresses
Primary practice location
65-1227 Opelo Rd
Kamuela, HI 96743-8401
Mailing address
65-1227 Opelo Rd
Kamuela, HI 96743-8401
Phone (808) 885-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | HI | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth J Fischer O D Inc | Optometrist | Current | Accepting new patients |
Locations
65-1227B Opelo Rd
Ste 5
Kamuela, HI 96743
Phone (808) 885-4000
Organizations & group practices 1
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": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1205884152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65-1227 OPELO RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438401",
"telephone_number": "808-885-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1227 OPELO RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438401",
"telephone_number": "808-885-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "KENNETH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.