Organization Active NPI

Windward Vision Center Associates, Inc

  • Optometrist
  • Kailua, HI
National Provider Identifier
1528224367
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINDWARD VISION CENTER ASSOCIATES, INC
Practice address
30 Aulike St
Suite 102
Kailua, HI 96734-2739
Phone
(808) 262-8107
Fax
(808) 262-8108
NPI assigned
Jul 31, 2008
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDWARD VISION CENTER ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Kari J Chang Moses, O.D.
Title
Optometrist
Phone
(808) 262-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

30 Aulike St
Suite 102
Kailua, HI 96734-2739

Mailing address

30 Aulike St
Suite 102
Kailua, HI 96734-2739
Phone (808) 262-8107

Other names 1

  • Drs Matsuda and Machida Optometrist Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000688 HI Part B Supplier - Clinic/Group Practice 1052329935 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kailua, HI; Kaneohe, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Windward Vision Center Associates Inc

Locations

30 Aulike St
Ste 102
Kailua, HI 96734
Phone (808) 262-8107

46-056 Kamehameha Hwy
Ste 251
Kaneohe, HI 96744
Phone (808) 235-6641

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1528224367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD VISION CENTER ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDWARD VISION CENTER ASSOCIATES, INC",
        "enumeration_date": "2008-07-31",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "CHANG MOSES",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "808-262-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Matsuda and Machida Optometrist Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.