Individual provider Active NPI

Lori Ann K. Kim, O.D.

  • Optometrist
  • Kamuela, HI
National Provider Identifier
1689891293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
647 Issued in HI
Practice address
65-1227 B. Opelo Road
Suite 5
Kamuela, HI 96743
Phone
(808) 885-4000
Fax
(808) 885-7079
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 647 HI Primary

Addresses

Primary practice location

65-1227 B. Opelo Road
Suite 5
Kamuela, HI 96743

Mailing address

PO Box 346
Kapaau, HI 96755-0346

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
I20110509000290 HI Practitioner - Optometry 8729264726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth J Fischer O D IncGroup PAC ID 3577682400, 3 clinicians

Practice addresses (Care Compare)

65 -1227B Opelo Rd
Suite 5
Kamuela, HI 96743-8443
Phone (808) 885-4000

Merit-based Incentive Payment System (MIPS)

Final score
96.99 of 100Reported as individual
Quality
93.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
647HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J Fischer O D Inc Optometrist CurrentSince Mar 10, 2011 Accepting new patients

Locations

65-1227B Opelo Rd
Ste 5
Kamuela, HI 96743
Phone (808) 885-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689891293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1227 B. OPELO ROAD",
            "address_2": "SUITE 5",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-885-4000",
            "fax_number": "808-885-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LORI ANN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.