Individual provider Active NPI

Janna M Kuba, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1265622328
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD335 Issued in HI
Practice address
1380 Lusitana St
Ste 714
Honolulu, HI 96813-2443
Phone
(808) 528-5333
Fax
(808) 545-7236
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD335 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Ste 714
Honolulu, HI 96813-2443

Mailing address

1380 Lusitana St
Ste 714
Honolulu, HI 96813-2443
Phone (808) 528-5333

Other identifiers 2

IdentifierTypeStateIssuer
GE342ZOtherHIMEDICARE PTAN
HEENDOOtherHIMEDICARE GROUP PTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD335HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin Yoshio Endo Optometrist Past Accepting new patients

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1265622328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132443",
            "telephone_number": "808-528-5333",
            "fax_number": "808-486-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132443",
            "telephone_number": "808-528-5333",
            "fax_number": "808-545-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBA",
        "first_name": "JANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GE342Z",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "HEENDO",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.