Individual provider Active NPI

Elizabeth McLemore, O.D.

  • Optometrist
  • Kailua, HI
National Provider Identifier
1447216569
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD393 Issued in HI
Practice address
417 Uluniu St Ste E
Kailua, HI 96734-2551
Phone
(808) 261-5555
NPI assigned
Apr 26, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 OD393 HI Primary

Addresses

Primary practice location

417 Uluniu St Ste E
Kailua, HI 96734-2551

Mailing address

417 Uluniu St Ste E
Kailua, HI 96734-2551
Phone (808) 261-5555

Other practice location 1

407 Uluniu St
Suite 113
Kailua, HI 96734-2519
Phone (808) 261-5555

Other identifiers 3

IdentifierTypeStateIssuer
1447216569OtherHIPERSONAL NPI
82-2342939OtherHITAX ID
1962772293OtherHIGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD393HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Girl Eyecare Inc Optometrist Current Accepting new patients
Island Girl Eyecare Optometrist CurrentSince Jan 7, 2013 Accepting new patients

Locations

328 Uluniu St
Ste 203
Kailua, HI 96734
Phone (808) 262-7799

407 Uluniu St
Ste 113
Kailua, HI 96734
Phone (808) 380-3980

417 Uluniu St
Ste E
Kailua, HI 96734
Phone (808) 261-5555

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, 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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447216569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ULUNIU ST STE E",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342551",
            "telephone_number": "808-261-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ULUNIU ST STE E",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342551",
            "telephone_number": "808-261-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Uluniu St",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342519",
            "country_code": "US",
            "telephone_number": "808-261-5555",
            "fax_number": "856-344-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1447216569",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "82-2342939",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962772293",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.