Active NPI
Ashley James Kucera, LDO
- Optician
- Waipahu, HI
National Provider Identifier
1215775440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DIO-292
- Practice address
- 94-595 Kupuohi St
Waipahu, HI 96797-5382 - Phone
- (808) 688-0700
- Fax
- (808) 688-1615
- NPI assigned
- Jul 20, 2024
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DIO-292 | HI | Primary |
Addresses
Primary practice location
94-595 Kupuohi St
Waipahu, HI 96797-5382
Mailing address
459 Portlock Rd
Honolulu, HI 96825-2000
Phone (808) 927-5348
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-292 | HI | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1215775440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 PORTLOCK RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968252000",
"telephone_number": "808-927-5348",
"fax_number": "808-396-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-595 KUPUOHI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975382",
"telephone_number": "808-688-0700",
"fax_number": "808-688-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCERA",
"first_name": "ASHLEY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "HI",
"license": "DIO-292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.