Individual provider Active NPI

Nicole S. Esver, OD

  • Optometrist
  • Lahaina, HI
National Provider Identifier
1861978728
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33992TLG Issued in CA
Practice address
910 Wainee St
Lahaina, HI 96761-1622
Phone
(808) 662-6900
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33992TLG CA Primary
Student in an Organized Health Care Education/Training Program 390200000X CA

Addresses

Primary practice location

910 Wainee St
Lahaina, HI 96761-1622

Mailing address

910 Wainee St
Lahaina, HI 96761-1622
Phone (808) 662-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180809000132 CA Practitioner - Optometry 7911255880 Reassigns benefits to 1 organization
I20200413002231 HI Practitioner - Optometry 7911255880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

2301 Kaanapali Pkwy
Lahaina, HI 96761-1908
Phone (808) 662-6900

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33992CAMDGeneral Practice Dentistry
33992TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Eye Care an Optometric Corporation Optometrist CurrentSince Jul 18, 2018 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Mar 2, 2020 Accepting new patients

Locations

1329 Oliver Rd
Fairfield, CA 94534
Phone (707) 429-0301

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

910 Wainee St
Lahaina, HI 96761
Phone (808) 243-6000

2301 Kaanapali Pkwy
Lahaina, HI 96761
Phone (808) 463-4616

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1861978728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WAINEE ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611622",
            "telephone_number": "808-662-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WAINEE ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611622",
            "telephone_number": "808-662-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESVER",
        "first_name": "NICOLE",
        "middle_name": "S.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33992TLG",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "910 Wainee St",
            "city": "Lahaina",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967611622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.