Individual provider Active NPI

Timothy E Kale, OD

  • Optometrist
  • Kealakekua, HI
National Provider Identifier
1730387804
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
HI291 Issued in HI
Practice address
79-7407 Mamalahoa Hwy
Suite E-F
Kealakekua, HI 96750-7931
Phone
(808) 322-6100
Fax
(808) 322-6117
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X HI291 HI Primary

Addresses

Primary practice location

79-7407 Mamalahoa Hwy
Suite E-F
Kealakekua, HI 96750-7931

Mailing address

79-7407 Mamalahoa Hwy
Suite E-F
Kealakekua, HI 96750-7931
Phone (808) 322-6100

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
I20080415000558 HI Practitioner - Optometry 3779661814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

79-7407 Mamalahoa Hwy Space E/F
All Eyes
Kealakekua, HI 96750-7931
Phone (808) 302-6100

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as individual
Quality
84.55
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HI291HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy E. Kale Optometrist, Inc Optometrist CurrentSince Mar 27, 2008 Accepting new patients

Locations

79-7407 Mamalahoa Hwy
Ste F
Kealakekua, HI 96750

79-7407 Mamalahoa Hwy
Spc Ef
Kealakekua, HI 96750
Phone (808) 302-6100

79-7407 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 302-6100

79-7407 Mamalahoa Hwy
Ste Ef
Kealakekua, HI 96750
Phone (808) 322-6100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1730387804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-7407 MAMALAHOA HWY",
            "address_2": "SUITE E-F",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507931",
            "telephone_number": "808-322-6100",
            "fax_number": "808-322-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7407 MAMALAHOA HWY",
            "address_2": "SUITE E-F",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507931",
            "telephone_number": "808-322-6100",
            "fax_number": "808-322-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALE",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "HI291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.