Individual provider Active NPI

Kaiea Iwasaki, OD

  • Optometrist
  • Lihue, HI
National Provider Identifier
1982443743
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1033 Issued in HI
Practice address
4368 Kukui Grove St
Lihue, HI 96766-1674
Phone
(808) 245-8765
Fax
(808) 245-8816
NPI assigned
May 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1033 HI Primary

Addresses

Primary practice location

4368 Kukui Grove St
Lihue, HI 96766-1674

Mailing address

2899 Aheahe St
Lihue, HI 96766-2017

Other practice location 1

3170-B Jerves Street
Lihue, HI 96766
Phone (808) 245-8765

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
I20240809003113 HI Practitioner - Optometry 4082152913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janie H Yoo MD LLCGroup PAC ID 9739598228, 3 clinicians

Practice addresses (Care Compare)

4368 Kukui Grove St
Suite 102
Lihue, HI 96766-1674

4368 Kukui Grove St
Suite 102
Lihue, HI 96766-2033
Phone (808) 245-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1033HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Janie H Yoo MD LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

4368 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 245-8765

4368 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-8765

3170 Jerves St
Ste B
Lihue, HI 96766
Phone (808) 245-8765

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1982443743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 AHEAHE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765",
            "fax_number": "808-245-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170-B Jerves Street",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "96766",
            "country_code": "US",
            "telephone_number": "808-245-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWASAKI",
        "first_name": "KAIEA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.