Dr. Rae Nagahiro – Optometrist in Lahaina, HI

Key facts

NPI: 1801028626
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
License: OD207 (HI)
Legal business name: DR. RAE NAGAHIRO
Practice address: 840 Wainee St
Suite 204
Lahaina, HI 96761-2319
Phone: (808) 667-9556
Fax: (808) 667-9557
NPI assigned: Aug 12, 2009
Organization subpart: No

Authorized official

Name: Dr. Rae R Nagahiro, OD
Title: Owner
Phone: (808) 667-9556

National Provider Directory

Locations

840 Wainee St
Ste 204
Lahaina, HI 96761
Phone (808) 667-9556

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X	OD207	HI	Yes

Addresses

Primary practice location

840 Wainee St
Suite 204
Lahaina, HI 96761-2319

Mailing address

364 Kiele St
Wailuku, HI 96793-2111
Phone (808) 667-9556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2009.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1801028626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 KIELE ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932111",
            "telephone_number": "808-667-9556",
            "fax_number": "808-667-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WAINEE ST",
            "address_2": "SUITE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612319",
            "telephone_number": "808-667-9556",
            "fax_number": "808-667-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAE NAGAHIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "NAGAHIRO",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-667-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

All providers in Lahaina, HI · Optometrist in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.