Kauai Optometric Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD181 Issued in HI

Legal business name

KAUAI OPTOMETRIC CENTER LLC

Practice address

4-901 Kuhio Hwy
Ste B
Kapaa, HI 96746-1576

Phone

(808) 822-3733

Fax

(808) 822-7355

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Belisle, O.D.NPI 1063516755

Title

Owner

Phone

(808) 822-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Paul Belisle, O.D.

  • Optometrist
  • Kapaa, HI
  • NPI 1063516755
  NPD Authorized official
• Nicholas Klauba I, O.D.

  • Optometrist
  • Kapaa, HI
  • NPI 1598219834
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1982803516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY",
            "address_2": "STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461576",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY",
            "address_2": "STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461576",
            "telephone_number": "808-822-3733",
            "fax_number": "808-822-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI OPTOMETRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-822-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kauai Independent Rehabilitation Associates, LLC
• Kauai Integrative Therapies
• Kauai Medical Clinic
• Kauai Optics LLC
• Kauai Optometric Center LLC
• Kaukila Pono
• Gregory Kavadias, P.D.
• Blair Keener, LCSW
• Keiki Club House Inc.
• Hari Simran Singh Khalsa, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.