Individual provider Active NPI

Kibert T Kato, O.D.

  • Optometrist
  • Kapolei, HI
National Provider Identifier
1952302390
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-530 Issued in HI
Practice address
563 Farrington Hwy
Suite 205
Kapolei, HI 96707-2031
Phone
(808) 693-8789
Fax
(808) 693-8790
NPI assigned
Aug 9, 2005
Last updated
May 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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-530 HI Primary

Addresses

Primary practice location

563 Farrington Hwy
Suite 205
Kapolei, HI 96707-2031

Mailing address

563 Farrington Hwy
Suite 205
Kapolei, HI 96707-2031
Phone (808) 693-8789

Other identifiers 1

IdentifierTypeStateIssuer
B229589OtherHIHMSA

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
I20100810000208 HI Practitioner - Optometry 1254222649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care, Inc.Group PAC ID 2466343850, 2 clinicians

Practice addresses (Care Compare)

563 Farrington Hwy
Suite 205
Kapolei, HI 96707-2031
Phone (808) 693-8789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care, Inc. Optometrist CurrentSince May 10, 2001 Accepting new patients

Locations

563 Farrington Hwy
Ste 205
Kapolei, HI 96707
Phone (808) 693-8789

Organizations & group practices 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1952302390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 FARRINGTON HWY",
            "address_2": "SUITE 205",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072031",
            "telephone_number": "808-693-8789",
            "fax_number": "808-693-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 FARRINGTON HWY",
            "address_2": "SUITE 205",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072031",
            "telephone_number": "808-693-8789",
            "fax_number": "808-693-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATO",
        "first_name": "KIBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B229589",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.