Individual provider Active NPI

Alyssa Lyn Chin

  • Optometrist
  • Mililani, HI
National Provider Identifier
1497407662
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
971 Issued in HI
Practice address
95-550 Lanikuhana Ave
Mililani, HI 96789-1783
Phone
(808) 623-0702
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 971 HI Primary

Addresses

Primary practice location

95-550 Lanikuhana Ave
Mililani, HI 96789-1783

Mailing address

615 Kuliouou Rd
Honolulu, HI 96821-2434
Phone (808) 352-3340

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220830004093 HI Practitioner - Optometry 4789068339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspired Vision LLCGroup PAC ID 9739559196, 2 clinicians
Liane N. Casuga, O.D.,Inc.Group PAC ID 2062836448, 3 clinicians

Practice addresses (Care Compare)

1580 Makaloa St
Suite 950
Honolulu, HI 96814-3258
Phone (808) 591-1566

95 -550 Lanikuhana Ave
Mililani, HI 96789-1783
Phone (808) 623-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
971HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS.Seulyn Lee Au and Khan G W Lau Optometrist Inc Optometrist CurrentSince Sep 7, 2024 Accepting new patients
Inspired Vision, LLC Optometrist CurrentSince Sep 7, 2024 Accepting new patients
Liane N. Casuga, O.D.,Inc. Optometrist CurrentSince Nov 1, 2022 Accepting new patients

Locations

1580 Makaloa St
Ste 950
Honolulu, HI 96814
Phone (808) 591-1566

95-550 Lanikuhana Ave
Mililani, HI 96789
Phone (808) 623-0702

94-615 Kupuohi St
Ste 203B
Waipahu, HI 96797

Organizations & group practices 3

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1497407662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KULIOUOU RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212434",
            "telephone_number": "808-352-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-550 LANIKUHANA AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891783",
            "telephone_number": "808-623-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ALYSSA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.