Active NPI
Kelvin Yoshito Yamamoto
- Optician
- Honolulu, HI
National Provider Identifier
1528200060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DIO-178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DIO-178 | HI | MD | Optician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optician
- Honolulu, HI
- NPI 1386650901
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.