KAUAI OPTOMETRIC CENTER LLC (NPI# 1720377195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720377195 |
| Entity Type | Organization |
| Organization Name | KAUAI OPTOMETRIC CENTER LLC |
| Practice Address |
4-901 Kuhio Hwy Ste. B Kapaa HI 96746-1576 |
| Practice Telephone | 8088223733 |
| Practice Fax Number | 8088227355 |
| Mailing Telephone | 8088223733 |
| Mailing Fax Number | 8088227355 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | DR. GLENN P BELISLE (OWNER) |
| Authorized Official Telephone | 8088223733 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD181 | HI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982803516 | Kauai Optometric Center LLC | Optometrist | 4-901 Kuhio Hwy, Ste B, Kapaa, HI 96746-1576 | 2007-07-13 |
| Street Address |
4-901 KUHIO HWY STE. B |
| City | KAPAA |
| State | HI |
| Zip Code | 96746-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063516755 | Glenn Paul Belisle | Optometrist | 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 | 2006-09-12 |
| 1093070674 | Amanda A Antonino | Optometrist | 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 | 2012-07-10 |
| 1962698225 | Jeffrey Wade Gatling | Physical Therapist | 4-901 Kuhio Hwy, Ste A, Kapaa, HI 96746-1549 | 2007-09-20 |
| 1982803516 | Kauai Optometric Center LLC | Optometrist | 4-901 Kuhio Hwy, Ste B, Kapaa, HI 96746-1576 | 2007-07-13 |
| 1508062365 | Catherine Marie Petterson | Occupational Therapist | 4-901 Kuhio Hwy, Unit A, Kapaa, HI 96746-1576 | 2007-06-26 |
| 1265589543 | Samuel Magasiny | Family Medicine | 4-901 Kuhio Hwy, Suite M, Kapaa, HI 96746-1576 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269965 | Joshua Ley | Physical Therapist | 5633 Kawaihau Road, Bldg 2a-12, Kapaa, HI 96746 | 2020-09-11 |
| 1740833896 | Aida Rivada Mendoza | Community Health Worker | Kapaa Waiver Program Service Center, 4800 Kawaihau Road #f, Kapaa, HI 96746 | 2019-07-18 |
| 1154892511 | Katherine O'donnell | Physical Therapist | 5633 Kawaihu Road, Bldg 2a-12, Kapaa, HI 96746 | 2018-12-11 |
| 1447734371 | Mehrnaz Motazedian | Behavioral Analyst | 5519 Kula Mauu, Kapaa, HI 96746 | 2018-09-17 |
| 1942713011 | Briana Marie Uribe | Behavioral Analyst | 3-312 Kuhio Hwy, Lihue, HI 96746 | 2017-11-13 |
| 1639692361 | Garden Isle Caregivers | Foster Care Agency | 5362 Olopua St, Kapaa, HI 96746 | 2017-07-25 |
| 1598122723 | Catherine Clement | Counselor | 1435 Kuhio Hwy. Suite 206, Kapaa, HI 96746 | 2016-01-19 |
| 1598120735 | Makana Mardonada | Social Worker | 5839 Waipouli Rd, Kapaa, HI 96746 | 2015-12-15 |
| 1740526938 | Kauai In-home Therapy LLC | Clinic/Center | 2-2514 Kaumualii Highway Ste. 205, Kalaheo, HI 96746 | 2012-12-17 |
| 1972877058 | Carole L. Duby | Massage Therapist | 365 Papaloa Rd, Kapa'a, HI 96746 | 2012-03-07 |
| Find all providers in zip 96746 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598219834 | Nicholas Klauba I | Optometrist | 4-901 Kuhio Hwy Ste B, Kapaa, HI 96746-1549 | 2016-08-03 |
| 1063516755 | Glenn Paul Belisle | Optometrist | 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 | 2006-09-12 |
| 1093070674 | Amanda A Antonino | Optometrist | 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 | 2012-07-10 |
| 1982803516 | Kauai Optometric Center LLC | Optometrist | 4-901 Kuhio Hwy, Ste B, Kapaa, HI 96746-1576 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689452 | Wendi N. Harada, O.d., Inc. | Optometrist | 1450 Ala Moana Blvd Ste 1300, Honolulu, HI 96814-4624 | 2020-05-01 |
| 1114563582 | Walter Gwok Wo Au | Optometrist | 98-1247 Kaahumanu St Ste 105, Aiea, HI 96701-5300 | 2019-11-20 |
| 1306408661 | Jennifer Michie Teruya | Optometrist | 7766 Waikapu Loop, Honolulu, HI 96825-3025 | 2019-07-07 |
| 1952963860 | Evan Tanaka | Optometrist | 850 Kamehameha Hwy Ste 114, Pearl City, HI 96782-2690 | 2019-07-01 |
| 1255992996 | Nicole Yokoyama | Optometrist | 1221 Kapiolani Blvd Ste 120, Honolulu, HI 96814-3501 | 2019-06-24 |
| 1508427493 | Colby Yamamoto | Optometrist | 2055 N King St Ste 101, Honolulu, HI 96819-3462 | 2019-06-22 |
| 1558827030 | Modesto Macogay Bala IIi | Optometrist | 79-7407 Mamalahoa Hwy Spc Ef, Kealakekua, HI 96750-7931 | 2019-02-20 |
| 1871068742 | Inna Litvin | Optometrist | 75-1015 Henry St Ste 700, Kailua Kona, HI 96740-1621 | 2018-10-08 |
| 1598242984 | Kellie R M Abe | Optometrist | 75-166 Kalani St Ste 102, Kailua Kona, HI 96740-1857 | 2018-07-27 |
| 1750867727 | Joanna Ngoc Ma | Optometrist | 4211 Waialae Ave Ste 108, Honolulu, HI 96816-5300 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.