Organization Active NPI

Kauai Optics LLC

  • Medical Specialty Clinic/Center
  • Kapaa, HI
National Provider Identifier
1861199366
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KAUAI OPTICS LLC
Practice address
4-831 Kuhio Hwy Ste 434
Kapaa, HI 96746-1574
Phone
(808) 822-3733
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Nicholas KlaubaNPI 1598219834
Title
Optometrist
Phone
(808) 822-3733

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4-831 Kuhio Hwy Ste 434
Kapaa, HI 96746-1574

Mailing address

4-831 Kuhio Hwy Ste 434
Kapaa, HI 96746-1574
Phone (808) 822-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623001438 HI Part B Supplier - Clinic/Group Practice 9234597246 Receives reassigned benefits from 1 practitioner
Practice locations: Kapaa, HI

National Provider Directory

National Provider Directory

Locations

4-831 Kuhio Hwy
Ste 434
Kapaa, HI 96746
Phone (808) 822-3733

Practitioners & affiliated clinicians

Practitioners 1

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": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1861199366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-831 KUHIO HWY STE 434",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461574",
            "telephone_number": "808-822-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-831 KUHIO HWY STE 434",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461574",
            "telephone_number": "808-822-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "KLAUBA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "808-822-3733",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.