Active NPI
William A Whalley, OD
- Optometrist
- Kapolei, HI
National Provider Identifier
1376863969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 721
- Practice address
- 579 Farrington Hwy
#101
Kapolei, HI 96707-2027 - Phone
- (808) 674-8811
- Fax
- (808) 674-8899
- NPI assigned
- Jun 4, 2010
- Last updated
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 721 | HI | Primary |
Addresses
Primary practice location
579 Farrington Hwy
#101
Kapolei, HI 96707-2027
Mailing address
PO Box 465
Haleiwa, HI 96712-0465
Phone (808) 674-8811
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
579 Farrington Hwy
Suite 101
Kapolei, HI 96707-2027
Phone (808) 674-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721 | HI | MD | Marriage & Family Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1376863969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967120465",
"telephone_number": "808-674-8811",
"fax_number": "808-674-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 FARRINGTON HWY",
"address_2": "#101",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072027",
"telephone_number": "808-674-8811",
"fax_number": "808-674-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALLEY",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
- Wellcare Health Insurance of Arizona, Inc. ('Ohana Health Plan)
- Wendi N Harada OD Inc (Hawaii Vision Associates)
- West Coast Counseling Services
- West Coast Counseling Services LLC (west coast counseling services)
- West Oahu Dental Center LLC
- Shyna Ceilene White
- Leilani Wilhelm, LMT
- Katelyn Wilhoit
- Bethany Rain Wilkens
- Tanya Willard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.