Individual provider Active NPI

Dane Logan Sultzer, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1992156749
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-1002 Issued in HI
Practice address
4211 Waialae Ave Ste 202
Honolulu, HI 96816-5312
Phone
(808) 204-4300
Fax
(808) 470-7164
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-1002 HI Primary

Addresses

Primary practice location

4211 Waialae Ave Ste 202
Honolulu, HI 96816-5312

Mailing address

4211 Waialae Ave Ste 202
Honolulu, HI 96816-5312
Phone (808) 204-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160923000501 WA Practitioner - Optometry 8628365319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-1002HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kahala Eye Clinic, LLC Optometrist CurrentSince Dec 15, 2024 Accepting new patients

Locations

4211 Waialae Ave
Ste 202
Honolulu, HI 96816
Phone (808) 204-4300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1992156749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-204-4300",
            "fax_number": "808-470-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-204-4300",
            "fax_number": "808-470-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTZER",
        "first_name": "DANE",
        "middle_name": "LOGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.