Organization Active NPI

Mrs Hilo LLC

Doing business as Eye Care Hawaii

  • Optometrist
  • Hilo, HI
National Provider Identifier
1467075721
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MRS HILO LLC
Doing business as
Eye Care Hawaii
Practice address
34 W Kawailani St
Hilo, HI 96720-5649
Phone
(808) 935-8887
NPI assigned
May 21, 2020
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Raghav Garg
Title
Manager
Phone
(808) 935-8887

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU

Addresses

Primary practice location

34 W Kawailani St
Hilo, HI 96720-5649

Mailing address

34 W Kawailani St
Hilo, HI 96720-5649
Phone (808) 935-8887

Other names 1

  • Eye Care Hawaii Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200717001612 HI Part B Supplier - Clinic/Group Practice 7517381908 Receives reassigned benefits from 5 practitioners
Practice locations: Hilo, HI
O20210301001594 HI DME Supplier - Physician - Optometrist 7517381908 Practice locations: Hilo, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mrs Hilo LLC34 W Kawailani St, Hilo, HI 96720-5649(808) 935-8887 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 14, 2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1467075721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205649",
            "telephone_number": "808-935-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205649",
            "telephone_number": "808-935-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS HILO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "RAGHAV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-935-8887"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Hawaii",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Care Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.