Organization Active NPI

Kauai Medical Clinic (Eye Care Center & Optical Shop)

  • Durable Medical Equipment & Medical Supplies
  • Lihue, HI
National Provider Identifier
1902924699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KAUAI MEDICAL CLINIC (EYE CARE CENTER & OPTICAL SHOP)
Practice address
Kauai Medical Clinic - Eye Care Center & Optical Shop
4366 Kukui Grove St, Suite 101
Lihue, HI 96766
Phone
(808) 246-0051
Fax
(808) 246-4816
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Okabe
Title
Cfo, Sr. Vice President
Phone
(808) 535-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

Kauai Medical Clinic - Eye Care Center & Optical Shop
4366 Kukui Grove St, Suite 101
Lihue, HI 96766

Mailing address

1946 Young St
Suite 360
Honolulu, HI 96826-2150
Phone (808) 973-7320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902924699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 YOUNG ST",
            "address_2": "SUITE 360",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262150",
            "telephone_number": "808-973-7320",
            "fax_number": "808-973-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAUAI MEDICAL CLINIC - EYE CARE CENTER & OPTICAL SHOP",
            "address_2": "4366 KUKUI GROVE ST, SUITE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-246-0051",
            "fax_number": "808-246-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI MEDICAL CLINIC (EYE CARE CENTER & OPTICAL SHOP)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKABE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO, SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "808-535-7202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.