Individual provider Active NPI

Melvin E Kau, O.D.

  • Optometrist
  • Ewa Beach, HI
National Provider Identifier
1962456046
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
100 Issued in HI
Practice address
91-902 Fort Weaver Rd
Suite 206
Ewa Beach, HI 96706-2261
Phone
(808) 689-8922
Fax
(808) 689-3326
NPI assigned
May 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 100 HI Primary

Addresses

Primary practice location

91-902 Fort Weaver Rd
Suite 206
Ewa Beach, HI 96706-2261

Mailing address

91-902 Fort Weaver Rd
Suite 206
Ewa Beach, HI 96706-2261
Phone (808) 689-8922

Other identifiers 2

IdentifierTypeStateIssuer
051325-01MedicaidHI
051325-02MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100HIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1962456046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD",
            "address_2": "SUITE 206",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-8922",
            "fax_number": "808-689-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD",
            "address_2": "SUITE 206",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-8922",
            "fax_number": "808-689-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAU",
        "first_name": "MELVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051325-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051325-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.