NPIMap

Organization Active NPI

Nora M.Y. Chan, O.D., Inc.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1932572203
Registry record updated Nov 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
636 Issued in HI
Legal business name
NORA M.Y. CHAN, O.D., INC.
Practice address
377 Keahole St
Honolulu, HI 96825-3405
Phone
(808) 396-6311
Fax
(808) 395-2448
NPI assigned
Nov 8, 2015
Last updated
Nov 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2015

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

Authorized official

Name
Dr. Nora Chan, O.D.NPI 1710931589
Title
President
Phone
(808) 232-9093

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 636 HI Primary
Durable Medical Equipment & Medical Supplies 332B00000X 636 HI
Customized Equipment (DME) 332BC3200X 636 HI
Eyewear Supplier 332H00000X 636 HI

Addresses

Primary practice location

377 Keahole St
Honolulu, HI 96825-3405

Mailing address

377 Keahole St
Honolulu, HI 96825-3405
Phone (808) 396-6311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128000074 HI Part B Supplier - Clinic/Group Practice 5799088522 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446940800000",
    "number": "1932572203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253405",
            "telephone_number": "808-396-6311",
            "fax_number": "808-395-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253405",
            "telephone_number": "808-396-6311",
            "fax_number": "808-395-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA M.Y. CHAN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-08",
        "last_updated": "2015-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-232-9093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "636",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "636",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "HI",
            "license": "636",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "HI",
            "license": "636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2015; 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.