Alicia Van, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 644 Issued in HI

Practice address

380 Huku Lii PL
Suite #107
Kihei, HI 96753-7043

Phone

(808) 875-4466

Fax

(808) 874-3899

NPI assigned

Dec 15, 2006

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Eye Gallery Inc

  • Optometrist
  • Kihei, HI
  • NPI 1881839405
  Medicare reassignment NPD Authorized official
• Diane Santesson OD Inc

  • Optometrist
  • Kihei, HI
  • NPI 1225188782
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1609938398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "SUITE #107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466",
            "fax_number": "808-874-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "SUITE #107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466",
            "fax_number": "808-874-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "ALICIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD 644",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6767 TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Tuna, MS, LAT, ATC
• Lauren K Twombly
• Emily Ulm, RN
• Talyah Unger, PSY.D
• Urgent Care Maui Inc. (urgent care maui)
• Abbie Vance
• Venture Physical Therapy LLC
• Venture Physical Therapy LLC
• Venture Physical Therapy LLC
• Maree Therese Von Sonn

• Optometrist in Kihei, HI
• Providers in Kihei, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.