Organization Active NPI

Nancy Chen, MD, Inc

Doing business as Kapolei Eye Care

  • Ophthalmology Physician
  • Kapolei, HI
National Provider Identifier
1326235169
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10756 Issued in HI
Legal business name
NANCY CHEN, MD, INC
Doing business as
Kapolei Eye Care
Practice address
579 Farrington Hwy Ste 101
Kapolei, HI 96707-2027
Phone
(808) 674-2273
Fax
(808) 674-2552
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Nancy Chen, MDNPI 1265427900
Title
President
Phone
(808) 674-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 10756 HI Primary

Addresses

Primary practice location

579 Farrington Hwy Ste 101
Kapolei, HI 96707-2027

Mailing address

579 Farrington Hwy Ste 101
Kapolei, HI 96707-2027
Phone (808) 674-2273

Other names 1

  • KAPOLEI EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040323001686 HI Part B Supplier - Clinic/Group Practice 2567353063 Receives reassigned benefits from 3 practitioners
Practice locations: Kapolei, HI
O20100930071256 HI DME Supplier - Physician - Ophthalmology 2567353063 Practice locations: Kapolei, HI

National Provider Directory

National Provider Directory
Tax ID family
Nancy Chen MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Iwilei Rd
Ste 225
Honolulu, HI 96817
Phone (808) 356-4300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1326235169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FARRINGTON HWY STE 101",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072027",
            "telephone_number": "808-674-2273",
            "fax_number": "808-674-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FARRINGTON HWY STE 101",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072027",
            "telephone_number": "808-674-2273",
            "fax_number": "808-674-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY CHEN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-674-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAPOLEI EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.