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
- 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 and National Provider Directory roles.
-
- Optometrist
- Aiea, HI
- NPI 1356654651
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
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.