Organization Active NPI

Kauai Ophthalmology Associates, LLC

  • Ophthalmology Physician
  • Koloa, HI
National Provider Identifier
1316192081
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD 13717 Issued in HI
Legal business name
KAUAI OPHTHALMOLOGY ASSOCIATES, LLC
Practice address
3430A Kalua Moa Rd
Koloa, HI 96756-8622
Phone
(808) 346-7797
NPI assigned
Nov 23, 2008
Last updated
Dec 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Authorized official

Name
Jean Shein, M.D.
Title
M.D.
Phone
(808) 346-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD 13717 HI Primary

Addresses

Primary practice location

3430A Kalua Moa Rd
Koloa, HI 96756-8622

Mailing address

4366 Kukui Grove St Ste 101
Lihue, HI 96766-2006
Phone (808) 346-7797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1316192081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST STE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-346-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430A KALUA MOA RD",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967568622",
            "telephone_number": "808-346-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI OPHTHALMOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "SHEIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "808-346-7797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD 13717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Koloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; 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.