Active NPI
Samantha Kawa, O.D.
- Optometrist
- Kahului, HI
National Provider Identifier
1306262886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4724
- Practice address
- 32 Paa St
Kahului, HI 96732-3605 - Phone
- (088) 777-8288
- NPI assigned
- Mar 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4724 | FL | Primary |
| Optometrist | 152W00000X | 875 | HI |
Addresses
Primary practice location
32 Paa St
Kahului, HI 96732-3605
Mailing address
58 Ia Iki St
Wailuku, HI 96793-4172
Phone (808) 446-9163
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4724 | FL | MD | Optometrist |
| 875 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Vision Services, Inc. | 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.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1912032566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1306262886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 IA IKI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967934172",
"telephone_number": "808-446-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 PAA ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323605",
"telephone_number": "088-777-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWA",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-08",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4724",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.