Big Island Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD320 Issued in HI

Legal business name

BIG ISLAND VISION CENTER

Practice address

899 Ululani St
A
Hilo, HI 96720

Phone

(808) 935-3937

Fax

(808) 935-3882

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Cedric Mitsui, ODNPI 1871596296

Title

President

Phone

(808) 935-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Cedric Mitsui, OD

  • Optometrist
  • Hilo, HI
  • NPI 1871596296
  NPD (past) Authorized official
• Elaine Icban, O.D.

  • Optometrist
  • Boston, MA
  • NPI 1609814177
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427005644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899-A ULULANI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-3937",
            "fax_number": "808-935-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 ULULANI ST",
            "address_2": "A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-3937",
            "fax_number": "808-935-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITSUI",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-935-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075767-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Big Island Optical, Inc
• Big Island Oral Surgery LLC
• Big Island Pain Center Inc.
• Big Island Pelvic Health LLC
• Big Island Substance Abuse Council
• Big Isle Smile Inc.
• William Romeo Bishop Jr.
• Volynne Bixler
• Black Sand Neuropsychological Services, Inc.
• Bonnie Blair

• All providers in Hilo, HI
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.