Individual provider Active NPI

Rodney S.O. Fong, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1679626360
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
187D Issued in HI
Practice address
725 Kapiolani Blvd Ste C204
Honolulu, HI 96813-6023
Phone
(808) 593-8939
Fax
(808) 593-8307
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 187D HI Primary

Addresses

Primary practice location

725 Kapiolani Blvd Ste C204
Honolulu, HI 96813-6023

Mailing address

725 Kapiolani Blvd Ste C204
Honolulu, HI 96813-6023
Phone (808) 593-8939

Other identifiers 3

IdentifierTypeStateIssuer
0000026817OtherHIQUEST-HMSA
026187OtherHIHMSA
24449601MedicaidHI

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
I20090805000287 HI Practitioner - Optometry 2961392055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fong Eyecare Center LLCGroup PAC ID 0648323394, 2 clinicians

Practice addresses (Care Compare)

725 Kapiolani Blvd
Suite C204
Honolulu, HI 96813-6023
Phone (808) 593-8939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
187DHIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fong Vision Center, Inc. Optometrist PastSince Jun 15, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1679626360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C204",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136023",
            "telephone_number": "808-593-8939",
            "fax_number": "808-593-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C204",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136023",
            "telephone_number": "808-593-8939",
            "fax_number": "808-593-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "RODNEY",
        "middle_name": "S.O.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "187D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST-HMSA",
            "identifier": "0000026817",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "026187",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24449601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.