Individual provider Active NPI

Kelvin Yoshito Yamamoto

  • Optician
  • Honolulu, HI
National Provider Identifier
1528200060
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DIO-178 Issued in HI
Practice address
193 S Hotel St
Honolulu, HI 96813-2805
Phone
(808) 536-1466
Fax
(808) 526-1031
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DIO-178 HI Primary

Addresses

Primary practice location

193 S Hotel St
Honolulu, HI 96813-2805

Mailing address

193 S Hotel St
Honolulu, HI 96813-2805
Phone (808) 536-1466

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
DIO-178HIMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
City Opticals LLC Optician Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1528200060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 S HOTEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132805",
            "telephone_number": "808-536-1466",
            "fax_number": "808-526-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 S HOTEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132805",
            "telephone_number": "808-536-1466",
            "fax_number": "808-526-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "KELVIN",
        "middle_name": "YOSHITO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "DIO-178",
            "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 1, 2009; 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.