Individual provider Active NPI

Rae S.H. Holt, O.D.

  • Optometrist
  • Aiea, HI
National Provider Identifier
1346322328
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-510 Issued in HI
Practice address
98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Phone
(808) 483-6439
Fax
(808) 483-6087
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-510 HI Primary

Addresses

Primary practice location

98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300

Mailing address

98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Phone (808) 483-6439

Other identifiers 2

IdentifierTypeStateIssuer
502345MedicaidHI
00A0219640OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

98-151 Pali Momi St
Aiea, HI 96701
Phone (808) 483-6400

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1346322328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-151 PALI MOMI ST",
            "address_2": "SUITE 142",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014300",
            "telephone_number": "808-483-6439",
            "fax_number": "808-483-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-151 PALI MOMI ST",
            "address_2": "SUITE 142",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014300",
            "telephone_number": "808-483-6439",
            "fax_number": "808-483-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "RAE",
        "middle_name": "S.H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502345",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0219640",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.