Organization Active NPI

Timothy E. Kale Optometrist, Inc

  • Optometrist
  • Kealakekua, HI
National Provider Identifier
1386819563
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
291 Issued in HI
Legal business name
TIMOTHY E. KALE OPTOMETRIST, INC
Practice address
79-7407 Mamalahoa Hwy
Suite E/F
Kealakekua, HI 96750-7931
Phone
(808) 322-6100
Fax
(808) 322-6117
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Timothy Edward Kale, O.D.NPI 1730387804
Title
President
Phone
(808) 322-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 291 HI Primary

Addresses

Primary practice location

79-7407 Mamalahoa Hwy
Suite E/F
Kealakekua, HI 96750-7931

Mailing address

79-7407 Mamalahoa Hwy
Suite E/F
Kealakekua, HI 96750-7931
Phone (808) 322-6100

Other identifiers 3

IdentifierTypeStateIssuer
280621OtherHIUNIVERSITY HEALTH ALLIANCE
197289OtherHIHMA INC
E063825OtherHIHMSA

Other names 1

  • ALL EYES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000110 HI Part B Supplier - Clinic/Group Practice 2466531272 Receives reassigned benefits from 1 practitioner
Practice locations: Kealakekua, HI

National Provider Directory

National Provider Directory

Locations

79-7407 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 302-6100

79-7407 Mamalahoa Hwy
Spc Ef
Kealakekua, HI 96750
Phone (808) 302-6100

79-7407 Mamalahoa Hwy
Ste Ef
Kealakekua, HI 96750
Phone (808) 322-6100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1386819563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-7407 MAMALAHOA HWY",
            "address_2": "SUITE E/F",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507931",
            "telephone_number": "808-322-6100",
            "fax_number": "808-322-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7407 MAMALAHOA HWY",
            "address_2": "SUITE E/F",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507931",
            "telephone_number": "808-322-6100",
            "fax_number": "808-322-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY E. KALE OPTOMETRIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KALE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-322-6100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANCE",
            "identifier": "280621",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA INC",
            "identifier": "197289",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "E063825",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL EYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.

Verify at the official NPI Registry.