Individual provider Active NPI

Kari Jeane Yuko Chang Moses, O.D.

  • Optometrist
  • Kaneohe, HI
National Provider Identifier
1326022674
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
556 Issued in HI
Practice address
46-056 Kamehameha Hwy
Kaneohe, HI 96744-3768
Phone
(808) 235-6641
Fax
(808) 247-3880
NPI assigned
Nov 30, 2005
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 556 HI Primary

Addresses

Primary practice location

46-056 Kamehameha Hwy
Kaneohe, HI 96744-3768

Mailing address

46-056 Kamehameha Hwy
Kaneohe, HI 96744-3768
Phone (808) 235-6641

Other identifiers 2

IdentifierTypeStateIssuer
0824380001OtherHICIGNA SUPPLIER #
547309MedicaidHI

Other names 1

  • Dr. Kari Jeanne Yuko Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000846 HI Practitioner - Optometry 4880659200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

46-056 Kamehameha Hwy
Suite 251
Kaneohe, HI 96744-6707
Phone (808) 235-6641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
556HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Vision Center Associates, Inc. Optometrist CurrentSince Jun 14, 2009 Accepting new patients
Matsuyamas O D Inc Optometrist Past Accepting new patients

Locations

46-056 Kamehameha Hwy
Spc K5
Kaneohe, HI 96744
Phone (808) 235-6641

46-056 Kamehameha Hwy
Ste 251
Kaneohe, HI 96744
Phone (808) 235-6641

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1326022674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443768",
            "telephone_number": "808-235-6641",
            "fax_number": "808-247-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443768",
            "telephone_number": "808-235-6641",
            "fax_number": "808-247-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG MOSES",
        "first_name": "KARI",
        "middle_name": "JEANE YUKO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA SUPPLIER #",
            "identifier": "0824380001",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547309",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "CHANG",
            "middle_name": "JEANNE YUKO",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.