Organization Active NPI

Patrick H. Nam, O.D., Inc.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1679792089
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
117 Issued in HI
Legal business name
PATRICK H. NAM, O.D., INC.
Practice address
1620 N School St
#143
Honolulu, HI 96817-1844
Phone
(808) 845-2221
Fax
(808) 845-0177
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Patrick Harry Nam, O.D.NPI 1194767947
Title
President
Phone
(808) 845-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 117 HI Primary

Addresses

Primary practice location

1620 N School St
#143
Honolulu, HI 96817-1844

Mailing address

2232 Kapiolani Blvd
#902
Honolulu, HI 96826-4343
Phone (808) 845-2221

Other identifiers 1

IdentifierTypeStateIssuer
05010101MedicaidHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1679792089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 KAPIOLANI BLVD",
            "address_2": "#902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264343",
            "telephone_number": "808-845-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N SCHOOL ST",
            "address_2": "#143",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171844",
            "telephone_number": "808-845-2221",
            "fax_number": "808-845-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK H. NAM, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-845-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05010101",
            "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 Apr 13, 2012; 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.