Active NPI
Lori Ann K. Kim, O.D.
- Optometrist
- Kamuela, HI
National Provider Identifier
1689891293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 647
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 93.97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth J Fischer O D Inc | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.