NPIMap

Organization Active NPI

Dr. Earle H. Nakagawa Optometrist LLC

  • Optometrist
  • Kaneohe, HI
National Provider Identifier
1245544113
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
123 Issued in HI
Legal business name
DR. EARLE H. NAKAGAWA OPTOMETRIST LLC
Practice address
45-1123 Kam Hwy
Suite C
Kaneohe, HI 96744-3242
Phone
(808) 247-6696
Fax
(808) 247-6663
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Earle Hidetsugu Nakagawa, O.D.
Title
Owver/Optometrist
Phone
(808) 247-6696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 123 HI Primary

Addresses

Primary practice location

45-1123 Kam Hwy
Suite C
Kaneohe, HI 96744-3242

Mailing address

45-1123 Kam Hwy
Suite C
Kaneohe, HI 96744-3242
Phone (808) 247-6696

Other identifiers 1

IdentifierTypeStateIssuer
039940-01MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1245544113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1123 KAM HWY",
            "address_2": "SUITE C",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443242",
            "telephone_number": "808-247-6696",
            "fax_number": "808-247-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1123 KAM HWY",
            "address_2": "SUITE C",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443242",
            "telephone_number": "808-247-6696",
            "fax_number": "808-247-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EARLE H. NAKAGAWA OPTOMETRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "NAKAGAWA",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "HIDETSUGU",
        "authorized_official_title_or_position": "OWVER/OPTOMETRIST",
        "authorized_official_telephone_number": "808-247-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039940-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.