Khoa Dang Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD850 Issued in HI

Practice address

68-1845 Waikoloa Rd Ste 218
Waikoloa, HI 96738-5584

Phone

(808) 883-3767

Fax

(808) 319-2510

NPI assigned

Oct 10, 2012

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 10 Eye Center

  • Optometrist
  • Kailua Kona, HI
  • NPI 1699375188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1447502786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383147",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967383147",
            "telephone_number": "808-883-3767",
            "fax_number": "808-319-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA RD STE 218",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385584",
            "telephone_number": "808-883-3767",
            "fax_number": "808-319-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOA",
        "middle_name": "DANG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lokahi Treatment Centers
• Mana Physical Therapy Inc.
• Susannah Kerr Mistr, MD
• Nan Kuli Kai Pharmacy Inc (Waikoloa Pharmacy)
• Nina M Nemetz, OD
• North Hawaii Mental Health, LLC
• One Holistic Place
• Jacob Ontiveros, RBT
• Pacific Skin Institute
• Pacific Skin Institute LLC

• Optometrist in Waikoloa, HI
• Providers in Waikoloa, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.

Verify at the official NPI Registry.