Individual provider Active NPI

Charlotte Fern Love, OD

  • Optometrist
  • Kamuela, HI
National Provider Identifier
1932768686
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-908 Issued in HI
Practice address
65-1227B Opelo Rd Ste 5
Kamuela, HI 96743-8443
Phone
(808) 885-4000
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-908 HI Primary

Addresses

Primary practice location

65-1227B Opelo Rd Ste 5
Kamuela, HI 96743-8443

Mailing address

65-1227B Opelo Rd Ste 5
Kamuela, HI 96743-8443
Phone (808) 885-4000

Other practice location 1

325 E Makaala St
Hilo, HI 96720-5144
Phone (808) 961-9115

Other names 1

  • Charlotte Fern Massoll Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RevolutionEHR

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
I20210322001752 HI Practitioner - Optometry 0840607701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love Aloha Eyecare LLCGroup PAC ID 3375937410, 2 clinicians

Practice addresses (Care Compare)

75 -1022 Henry St
Suite 2
Kailua Kona, HI 96740-3132
Phone (808) 437-5156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Love Aloha Eyecare LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Eugene W M NG MD LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Kenneth J Fischer O D Inc Optometrist PastSince Mar 10, 2011 Accepting new patients

Locations

47 Lanihuli St
Hilo, HI 96720
Phone (808) 961-4711

615 Piikoi St
Ste 1510
Honolulu, HI 96814
Phone (808) 593-2377

407 Uluniu St
Ste 109
Kailua, HI 96734
Phone (808) 262-4071

75-1022 Henry St
Ste 2
Kailua Kona, HI 96740
Phone (248) 410-0115

2104 Lauwiliwili St
Ste 102K
Kapolei, HI 96707
Phone (808) 677-7727

Interoperability endpoints

  • Direct secure messaging: clove@lovealoha.intellechartdirect.net

Organizations & group practices 3

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1932768686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1227B OPELO RD STE 5",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438443",
            "telephone_number": "808-885-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1227B OPELO RD STE 5",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438443",
            "telephone_number": "808-885-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Makaala St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967205144",
            "country_code": "US",
            "telephone_number": "808-961-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "CHARLOTTE",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RevolutionEHR",
            "affiliation": "N",
            "address_1": "65-1227B Opelo Rd Ste 5",
            "city": "Kamuela",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967438443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "MASSOLL",
            "middle_name": "FERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.