Lauren Mordue, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-859 Issued in HI

Practice address

573 Kailua Rd Ste 106
Kailua, HI 96734-2836

Phone

(808) 501-2020

Fax

(808) 501-2015

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1659893980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 KAILUA RD STE 106",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342836",
            "telephone_number": "808-501-2020",
            "fax_number": "808-501-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 KAILUA RD STE 106",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342836",
            "telephone_number": "808-501-2020",
            "fax_number": "808-501-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDUE",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Montalvo
• Jacqueline Montano
• Jacqueline Montero, CSAC, ICRC, LMHC
• Valerie L Montoya, LAC
• Celeste Moore
• Caryn S Morita
• Gary Katsumi Morita, D.D.S. INC.
• Wendell K. Morita, D.D.S.
• Richard S. Moritmoto, D.D.S.
• Keala Morrell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.