Organization Active NPI

DVV Hawaii, Inc.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1780713636
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
313 Issued in HI
Legal business name
DVV HAWAII, INC.
Practice address
1221 Kapiolani Blvd
Suite 120
Honolulu, HI 96814-3503
Phone
(808) 596-4445
Fax
(808) 596-4479
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Leslie Poon, O.D.NPI 1235183815
Title
President
Phone
(808) 596-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 313 HI Primary

Addresses

Primary practice location

1221 Kapiolani Blvd
Suite 120
Honolulu, HI 96814-3503

Mailing address

1221 Kapiolani Blvd
Suite 120
Honolulu, HI 96814-3503
Phone (808) 596-4445

Other names 1

  • Dream Vision Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000021 HI Part B Supplier - Clinic/Group Practice 4981701026 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1780713636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "SUITE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-596-4445",
            "fax_number": "808-596-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "SUITE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-596-4445",
            "fax_number": "808-596-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVV HAWAII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "POON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-596-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Vision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.