Active NPI
Dr. Chet a. Myers. O.D., LLC
- Eyewear Supplier
- Lihue, HI
National Provider Identifier
1336454073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OD489
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08912102 | Medicaid | HI | |
| 00C0223168 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Lihue, HI
- NPI 1225130818
-
- Optometrist
- Lihue, HI
- NPI 1538140264
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.