NPIMap

Organization Active NPI

Kauai Optometric Center LLC

  • Optometrist
  • Kapa'a, HI
National Provider Identifier
1720377195
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD181 Issued in HI
Legal business name
KAUAI OPTOMETRIC CENTER LLC
Practice address
4-901 Kuhio Hwy
Ste. B
Kapaa, HI 96746-1576
Phone
(808) 822-3733
Fax
(808) 822-7355
NPI assigned
Apr 6, 2011
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Glenn P Belisle, ODNPI 1063516755
Title
Owner
Phone
(808) 822-3733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD181 HI Primary

Addresses

Primary practice location

4-901 Kuhio Hwy
Ste. B
Kapaa, HI 96746-1576

Mailing address

4-901 Kuhio Hwy
Ste. B
Kapaa, HI 96746-1576
Phone (808) 822-3733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1720377195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY",
            "address_2": "STE. B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461576",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY",
            "address_2": "STE. B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461576",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI OPTOMETRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-822-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.