Active NPI
Kaiea Iwasaki, OD
- Optometrist
- Lihue, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1033 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janie H Yoo MD LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.