Big Island Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

W20294426-01 Issued in HI

Legal business name

BIG ISLAND OPTICAL, INC

Practice address

1216 Kinoole St
Hilo, HI 96720-4134

Phone

(808) 935-1360

Fax

(808) 935-1383

NPI assigned

Jun 8, 2006

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey C Hironaga

Title

Vice-President

Phone

(808) 935-1360

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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

Tax ID family

Big Island Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Big Island Optical Inc

  • Eyewear Supplier
  • Kamuela, HI
  • NPI 1093908089
  NPD tax ID

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1528008208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204134",
            "telephone_number": "808-935-1360",
            "fax_number": "808-935-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204134",
            "telephone_number": "808-935-1360",
            "fax_number": "808-935-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "HIRONAGA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "808-935-1360"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "HI",
            "license": "W20294426-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08143202",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Big Island Family Medicine Inc
• Big Island Foot Care, Inc
• Big Island Health Clinic
• Big Island Hearing Center, LLC
• Big Island Massage Therapy LLC
• Big Island Oral Surgery LLC
• Big Island Pain Center Inc.
• Big Island Pelvic Health LLC
• Big Island Substance Abuse Council
• Big Island Vision Center

• Eyewear Supplier in Hilo, HI
• Providers in Hilo, HI by specialty
• Eyewear Supplier in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.