MCDD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MCDD LLC

Practice address

752 17TH Ave
Honolulu, HI 96816-4102

Phone

(808) 738-5300

Fax

(808) 738-5304

NPI assigned

Feb 24, 2022

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Dash, ODNPI 1982023214

Title

Provider

Phone

(808) 677-7727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: mdash@pacificeyeshi.intellechartdirect.net

Practitioners 2

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.

• Michael Dash, O.D.

  • Optometrist
  • Honolulu, HI
  • NPI 1982023214
  Medicare reassignment NPD Authorized official
• Doss K Tannehill, BCO

  • Ocularist
  • Honolulu, HI
  • NPI 1518919620
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1790431047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-820 MOANALUA RD SPC 5-422",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 17TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164102",
            "telephone_number": "808-738-5300",
            "fax_number": "808-738-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "DASH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "808-677-7727",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia McCowin
• Brittney McCoy
• Kristi L McCulloch, NP
• Shayne McCusker
• Brenda Lee McDaniel, PH.D.
• Heather McDermott, PSY.D.
• Joann Marie McDermott, ACNP, APRN-BC
• Timothy McDevitt, M.D.
• Kimberly L McDonald, PSY.D.
• Michelle Kehaulani McDonald, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.