Organization Active NPI

Dr. Chet a. Myers. O.D., LLC

  • Eyewear Supplier
  • Lihue, HI
National Provider Identifier
1336454073
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OD489 Issued in HI
Legal business name
DR. CHET A. MYERS. O.D., LLC
Practice address
2964 Ewalu St
Lihue, HI 96766-1377
Phone
(808) 245-2772
Fax
(808) 245-4541
NPI assigned
Aug 17, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Linda J Nanbu
Title
Office Manager
Phone
(808) 245-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OD489 HI Primary

Addresses

Primary practice location

2964 Ewalu St
Lihue, HI 96766-1377

Mailing address

2964 Ewalu St
Lihue, HI 96766-1377
Phone (808) 245-2772

Other identifiers 2

IdentifierTypeStateIssuer
08912102MedicaidHI
00C0223168OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101007000054 HI Part B Supplier - Clinic/Group Practice 0648462887 Receives reassigned benefits from 1 practitioner
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Locations

2964 Ewalu St
Ste 1
Lihue, HI 96766
Phone (808) 245-2772

Practitioners & affiliated clinicians

Practitioners 2

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": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1336454073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 EWALU ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661377",
            "telephone_number": "808-245-2772",
            "fax_number": "808-245-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 EWALU ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661377",
            "telephone_number": "808-245-2772",
            "fax_number": "808-245-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHET A. MYERS. O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "NANBU",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-245-2772"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "HI",
            "license": "OD489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08912102",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00C0223168",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.