Organization Active NPI

Janie H Yoo MD LLC

  • Ophthalmology Physician
  • Lihue, HI
National Provider Identifier
1568041226
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JANIE H YOO MD LLC
Practice address
4368 Kukui Grove St Ste 102
Lihue, HI 96766-1674
Phone
(808) 245-8765
Fax
(808) 245-8816
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Janie Yoo, MDNPI 1932393170
Title
Owner
Phone
(808) 245-8765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4368 Kukui Grove St Ste 102
Lihue, HI 96766-1674

Mailing address

4368 Kukui Grove St
Lihue, HI 96766-1674
Phone (808) 245-8765

Other practice location 1

3170 Jerves St Ste B
Lihue, HI 96766-3113
Phone (808) 378-9927

Other names 1

  • Kauai Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527000205 HI Part B Supplier - Clinic/Group Practice 9739598228 Receives reassigned benefits from 3 practitioners
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Locations

4368 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-8765

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1568041226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST STE 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765",
            "fax_number": "808-245-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Jerves St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967663113",
            "country_code": "US",
            "telephone_number": "808-378-9927",
            "fax_number": "808-515-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JANIE H YOO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-245-8765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kauai Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kauai Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.