Individual provider Active NPI

Jonathan K Chun, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1366879843
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 777 Issued in HI
Practice address
737 Bishop St Ste 110
Honolulu, HI 96813
Phone
(808) 523-6484
Fax
(844) 784-6588
NPI assigned
Sep 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 777 HI Primary

Addresses

Primary practice location

737 Bishop St Ste 110
Honolulu, HI 96813

Mailing address

737 Bishop St Ste 110
Honolulu, HI 96813-3202
Phone (808) 523-6484

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
I20150605002529 HI Practitioner - Optometry 0749501435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

737 Bishop St
Suite 110
Honolulu, HI 96813-3202
Phone (808) 523-6484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD 777HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Chun OD LLC Optometrist CurrentSince Jul 28, 2017 Accepting new patients
Hugo Higa, MD, LLC CurrentSince Apr 22, 2015 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 660
Aiea, HI 96701
Phone (808) 622-2626

737 Bishop St
Ste 110
Honolulu, HI 96813
Phone (808) 523-6484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1366879843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BISHOP ST STE 110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133202",
            "telephone_number": "808-523-6484",
            "fax_number": "844-784-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BISHOP ST STE 110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-523-6484",
            "fax_number": "844-784-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JONATHAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD 777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.