Ronald R. Reynolds, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0112 Issued in HI

Legal business name

RONALD R. REYNOLDS, O.D., INC.

Practice address

95-390 Kuahelani Ave
Mililani, HI 96789-1192

Phone

(808) 623-2866

Fax

(808) 623-7255

NPI assigned

Apr 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald R. Reynolds, O.D.NPI 1174527568

Title

President

Phone

(808) 623-2866

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MILILANI VISION SOURCE Other name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

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

• Geoffrey Eric Reynolds, O.D.

  • Optometrist
  • Mililani, HI
  • NPI 1164560769
  Medicare reassignment Care Compare group NPD
• Mily Wu Reynolds, O.D.

  • Optometrist
  • Mililani, HI
  • NPI 1184678575
  Medicare reassignment Care Compare group NPD
• Ronald R Reynolds, O.D.

  • Optometrist
  • Mililani, HI
  • NPI 1174527568
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1780707653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-623-2866",
            "fax_number": "808-623-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-623-2866",
            "fax_number": "808-623-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD R. REYNOLDS, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-623-2866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00005884-2",
            "identifier": "HMSA",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "57550400020",
            "identifier": "UHA",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "575504000258",
            "identifier": "UHA",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05147901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILILANI VISION SOURCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Du Rye Robles
• Jansen Rodrigo
• Elise Rodriguez
• Maria L Rodriguez, MD
• Lydia Rolita, M.D.
• Chelsea Ann Rorer, PMHNP-BC, AGACNP-BC
• Luis Rosa
• Darcelle Ross
• Jessica Rougee, R.N., APRN, RX, NP-C
• Falicity Rouse

• Optometrist in Mililani, HI
• Providers in Mililani, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.