Individual provider Active NPI

Jarren Kunimura, ABO-AC, NCLC, ABOM

  • Optician
  • Honolulu, HI
National Provider Identifier
1629015276
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DIO-184 Issued in HI
Practice address
1142 Koko Head Ave
Honolulu, HI 96816-3710
Phone
(808) 735-7773
Fax
(808) 735-7773
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 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
6431-1OtherHIHMSA
499295MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DIO-184HIMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
JK Optical Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1629015276",
    "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": {
        "last_name": "KUNIMURA",
        "first_name": "JARREN",
        "name_prefix": "Mr.",
        "credential": "ABO-AC, NCLC, ABOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "DIO-184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "6431-1",
            "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 Sep 19, 2008; 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.