Individual provider Active NPI

Bo Kyong Yip

  • Optician
  • Honolulu, HI
National Provider Identifier
1518719442
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
359 Issued in HI
Practice address
2330 Kalakaua Ave Ste 214
Honolulu, HI 96815-5045
Phone
(808) 800-2718
Fax
(808) 800-2718
NPI assigned
Apr 3, 2024
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 359 HI Primary

Addresses

Primary practice location

2330 Kalakaua Ave Ste 214
Honolulu, HI 96815-5045

Mailing address

PO Box 240202
Honolulu, HI 96824-0202
Phone (808) 800-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
359HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PC 800 Inc CurrentSince Apr 21, 2024 Accepting new patients

Locations

2330 Kalakaua Ave
Ste 214
Honolulu, HI 96815
Phone (808) 800-2718

Organizations & group practices 1

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1518719442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240202",
            "telephone_number": "808-800-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 KALAKAUA AVE STE 214",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155045",
            "telephone_number": "808-800-2718",
            "fax_number": "808-800-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "BO KYONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.