Ian Kawamoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-854 Issued in HI

Practice address

34 W Kawailani St
Hilo, HI 96720-5649

Phone

(808) 935-8887

Fax

(808) 892-5882

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mrs Hilo LLCGroup PAC ID 7517381908, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as group

Quality

81.89

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mrs Hilo LLC

  dba Eye Care Hawaii

  • Optometrist
  • Hilo, HI
  • NPI 1467075721
  Medicare reassignment Care Compare group NPD
• Amplify Optometry of America PLLC

  • Optometrist
  • Hilo, HI
  • NPI 1578301305
  Medicare reassignment NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1972589273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29729",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202129",
            "telephone_number": "808-935-8887",
            "fax_number": "808-892-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205649",
            "telephone_number": "808-935-8887",
            "fax_number": "808-892-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMOTO",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "512",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504119",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kau Hospital (East Hawaii Health Clinic at 1190 Waianuenue)
• Ammon Kau, DDS
• Kaumana Drive Partners LLC (Legacy Hilo Rehabilitation and Nursing Center)
• Kaumana Pharmaceuticals
• Kaumana Wellness LLC
• Kaycee N.E. Kawano
• Kawili Dental Group Inc
• Kaylin Kiani Wong Kaaua, FNP-C, LLC
• Ke Alaula, Inc.
• Ke Ola Kino Physical Therapy, LLC (Ke Ola Kino Physical Therapy)

• Optometrist in Hilo, HI
• Providers in Hilo, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.