MICHELLE RENEE DURHAM (NPI# 1023287067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023287067 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE DURHAM |
| Credential | O.D. |
| Practice Address |
86-120 Farrington Hwy Waianae HI 96792-3000 |
| Mailing Address |
95-1016 Kahualea St Mililani HI 96789-4427 |
| Practice Telephone | 8086967021 |
| Mailing Telephone | 5012569671 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2013-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2639 | AR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 764 | HI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2005035713 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794969 | Michelle Lee Durham | Audiologist | 111 Commonwealth Ave Ste 100, Bristol, VA 24201-3832 | 2020-06-12 |
| 1578101523 | Michelle Durham | Counselor | 12504 Keynote Ln, Bowie, MD 20715-2746 | 2019-12-19 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1619524733 | Michelle Durham | Nurse Practitioner | 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 | 2019-08-22 |
| 1700223120 | Michelle Lynne Durham | Case Manager/Care Coordinator | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2013-05-24 |
| 1295071587 | Michelle Elizabeth Durham | Counselor | 2616 S Clack St, Abilene, TX 79606-1557 | 2012-12-14 |
| 1073740056 | Michelle P Durham | Psychiatry & Neurology | One Boston Medical Center Place, Boston, MA 02118-4001 | 2009-06-17 |
| 1316173735 | Michelle Dawn Durham | Physical Therapist | 6400 Trinity Dr, Pine Bluff, AR 71603-7802 | 2009-06-01 |
| 1023172202 | Michelle Durham | Nurse Practitioner | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-12-21 |
| Street Address |
86-120 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678575 | Mily Wu Reynolds | Optometrist | 86-120 Farrington Hwy, Suite C301, Waianae, HI 96792-3000 | 2006-05-20 |
| 1427690270 | Chanel Mayural | Pharmacist | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2019-10-14 |
| 1093366825 | Joni Kekauililani Sadako Harada | Pharmacist | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2019-09-23 |
| 1689172736 | Sean William Abreu | Pharmacist | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2018-01-23 |
| 1902288830 | Waianae District Comprehensive Health and Hospital Board, Inc | Optometrist | 86-120 Farrington Hwy, C-301, Waianae, HI 96792-3000 | 2015-06-27 |
| 1588923841 | Jared Kanekoa Pule | Case Manager/Care Coordinator | 86-120 Farrington Hwy, A107, Waianae, HI 96792-3000 | 2012-05-08 |
| 1881953222 | Clyde Reis | Case Manager/Care Coordinator | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2012-05-04 |
| 1417216904 | Duke Kanealii Maele | Case Manager/Care Coordinator | 86-120 Farrington Hwy, A107, Waianae, HI 96792-3000 | 2012-05-03 |
| 1194083683 | Joseph Yacapin | Case Manager/Care Coordinator | 86-120 Farrington Hwy, Suite A107, Waianae, HI 96792-3000 | 2012-05-02 |
| 1548528292 | Davelynne A. Kalani | Case Manager/Care Coordinator | 86-120 Farrington Hwy, A 107, Waianae, HI 96792-3000 | 2012-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| 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 |
|---|---|---|---|---|
| 1801144993 | Sarah M Yi | Optometrist | 86-120 Farrington Hwy Ste C301, Waianae, HI 96792-3072 | 2012-08-21 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1184678575 | Mily Wu Reynolds | Optometrist | 86-120 Farrington Hwy, Suite C301, Waianae, HI 96792-3000 | 2006-05-20 |
| 1720501059 | Malia M Sato | Optometrist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2017-07-19 |
| 1902288830 | Waianae District Comprehensive Health and Hospital Board, Inc | Optometrist | 86-120 Farrington Hwy, C-301, Waianae, HI 96792-3000 | 2015-06-27 |
| 1750555132 | Roger Christian Ede, O.d., Inc. | Optometrist | 86-120 Farrington Hwy, Suite C301, Waianae, HI 96792-3000 | 2008-04-17 |
| 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 |
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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.