Individual provider Active NPI

Iris Y Kuwabara, O.D.

  • Optometrist
  • Mililani, HI
National Provider Identifier
1790783777
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
266 Issued in HI
Practice address
95-720 Lanikuhana Ave
Ste. 260
Mililani, HI 96789-2985
Phone
(808) 625-5144
Fax
(808) 625-8891
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 266 HI Primary

Addresses

Primary practice location

95-720 Lanikuhana Ave
Ste. 260
Mililani, HI 96789-2985

Mailing address

95-720 Lanikuhana Ave
Ste. 260
Mililani, HI 96789-2985
Phone (808) 625-5144

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
I20051012000552 HI Practitioner - Optometry 8820013469 Practice locations: Mililani, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 -720 Lanikuhana Ave
Suite 260
Mililani, HI 96789-2987
Phone (808) 625-5144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
266HIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1790783777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "STE. 260",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-5144",
            "fax_number": "808-625-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "STE. 260",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-5144",
            "fax_number": "808-625-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUWABARA",
        "first_name": "IRIS",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.