Organization Active NPI

JK Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1578713665
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DIO 184 Issued in HI
Legal business name
JK OPTICAL INC
Practice address
1142 Koko Head Ave
Honolulu, HI 96816-3710
Phone
(808) 735-7773
Fax
(808) 735-7773
NPI assigned
Sep 24, 2008
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mr. Jarren KunimuraNPI 1629015276
Title
Master Optician
Phone
(808) 735-7773

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
Durable Medical Equipment & Medical Supplies 332B00000X DIO 184 HI Primary

Addresses

Primary practice location

1142 Koko Head Ave
Honolulu, HI 96816-3710

Mailing address

1142 Koko Head Ave
Honolulu, HI 96816-3710
Phone (808) 735-7773

Other identifiers 2

IdentifierTypeStateIssuer
64311OtherHIHMSA
499295MedicaidHI

National Provider Directory

National Provider Directory

Locations

1142 Koko Head Ave
Honolulu, HI 96816
Phone (808) 735-7773

2011 S King St
Honolulu, HI 96826

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": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1578713665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 KOKO HEAD AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163710",
            "telephone_number": "808-735-7773",
            "fax_number": "808-735-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 KOKO HEAD AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163710",
            "telephone_number": "808-735-7773",
            "fax_number": "808-735-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "KUNIMURA",
        "authorized_official_first_name": "JARREN",
        "authorized_official_title_or_position": "MASTER OPTICIAN",
        "authorized_official_telephone_number": "808-735-7773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "DIO 184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "64311",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499295",
            "state": "HI"
        }
    ],
    "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 Mar 10, 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.