Individual provider Active NPI

Peili Lin, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1821147620
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
498 Issued in HI
Practice address
615 Piikoi St Ste 1510
Honolulu, HI 96814-3142
Phone
(808) 593-2377
Fax
(808) 593-1447
NPI assigned
Jan 9, 2007
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 498 HI Primary

Addresses

Primary practice location

615 Piikoi St Ste 1510
Honolulu, HI 96814-3142

Mailing address

377 Keahole St
Ste A14
Honolulu, HI 96825-3427
Phone (808) 593-2377

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
I20170815000574 HI Practitioner - Optometry 0941572796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nora M.Y. Chan, O.D., Inc.Group PAC ID 5799088522, 3 clinicians

Practice addresses (Care Compare)

377 Keahole St
Honolulu, HI 96825-3405

377 Keahole St
Suite A14
Honolulu, HI 96825-3427
Phone (808) 396-6311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christopher Sween Optometrist Inc Optometrist CurrentSince Jun 25, 2017 Accepting new patients
Schofield Vision Center, Inc. Optometrist Current Accepting new patients
Nora M.Y. Chan, O.D., Inc. Optometrist CurrentSince Feb 18, 2020 Accepting new patients

Locations

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

377 Keahole St
Ste A14
Honolulu, HI 96825
Phone (808) 396-6311

4589 Kapolei Pkwy
Kapolei, HI 96707
Phone (808) 674-3902

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1821147620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE ST",
            "address_2": "STE A14",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253427",
            "telephone_number": "808-593-2377",
            "fax_number": "808-593-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-593-2377",
            "fax_number": "808-593-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PEILI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.