Individual provider Active NPI

Nicholas Klauba I, O.D.

  • Optometrist
  • Kapa'a, HI
National Provider Identifier
1598219834
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD865 Issued in HI
Practice address
4-901 Kuhio Hwy Ste B
Kapaa, HI 96746-1549
Phone
(808) 822-3733
Fax
(808) 822-7355
NPI assigned
Aug 3, 2016
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD865 HI Primary

Addresses

Primary practice location

4-901 Kuhio Hwy Ste B
Kapaa, HI 96746-1549

Mailing address

4-901 Kuhio Hwy Ste B
Kapaa, HI 96746-1549
Phone (808) 822-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001755 HI Practitioner - Optometry 8325314107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4-831 Kuhio Hwy
Suite 434
Kapaa, HI 96746-1574
Phone (808) 822-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD865HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Optics LLC CurrentSince Apr 12, 2023 Accepting new patients
Kauai Optometric Center LLC Optometrist PastSince Oct 13, 2017 Accepting new patients

Locations

4-831 Kuhio Hwy
Ste 434
Kapaa, HI 96746
Phone (808) 822-3733

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1598219834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461549",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461549",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUBA",
        "first_name": "NICHOLAS",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

Verify at the official NPI Registry.