Individual provider Active NPI

Eugene Kwan Lock Young, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1932196730
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
215 Issued in HI
Practice address
1125 Bethel St
Honolulu, HI 96813-2202
Phone
(808) 533-7478
Fax
(808) 533-7478
NPI assigned
Oct 5, 2005
Last updated
Oct 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 215 HI Primary

Addresses

Primary practice location

1125 Bethel St
Honolulu, HI 96813-2202

Mailing address

1125 Bethel St
Honolulu, HI 96813-2202
Phone (808) 533-7478

Other identifiers 1

IdentifierTypeStateIssuer
017896-01MedicaidHI

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
I20050504000316 HI Practitioner - Optometry 5496795080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehua Optometry IncGroup PAC ID 6709114366, 2 clinicians

Practice addresses (Care Compare)

101 Aupuni St
Suite 305
Hilo, HI 96720-4262
Phone (808) 935-6319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehua Optometry Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients

Locations

101 Aupuni St
Ste 305
Hilo, HI 96720
Phone (808) 935-6319

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, 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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1932196730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132202",
            "telephone_number": "808-533-7478",
            "fax_number": "808-533-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132202",
            "telephone_number": "808-533-7478",
            "fax_number": "808-533-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EUGENE",
        "middle_name": "KWAN LOCK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017896-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.