DR. TIMOTHY H MOON (NPI# 1245383504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245383504 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY H MOON |
| Credential | O.D. |
| Practice Address |
1441 Kapiolani Blvd Suite 312 Honolulu HI 96814-4402 |
| Practice Telephone | 8089467700 |
| Practice Fax Number | 8089467710 |
| Mailing Telephone | 8089467700 |
| Mailing Fax Number | 8089467710 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD 450 | HI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | FEDERAL TAX ID | 94-3274533 | 01 |
| HI | 49451801 | 05 | |
| HI | HMSA | A20813-0 | 01 |
| HI | HMSA QUEST | A20813-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140137 | Timothy Hyun Moon | Pharmacist | 6498 Pony Express Trl, Pollock Pines, CA 95726-9604 | 2017-12-14 |
| 1447619317 | Timothy C Moon | Case Manager/Care Coordinator | 216 Lafayette St, Schenectady, NY 12305-2408 | 2016-02-19 |
| 1346654290 | Timothy Hoon Moon | Family Medicine | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2014-06-19 |
| 1215957832 | Timothy W Moon | Family Medicine | 173 E Main St, Gouverneur, NY 13642-1510 | 2006-07-19 |
| 1447214010 | Timothy D Moon | Urology | 600 Highland Ave, Madison, WI 53792 | 2006-04-12 |
| Street Address |
1441 KAPIOLANI BLVD SUITE 312 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870666 | Samuel Chung-hang Lo | Ophthalmology | 1441 Kapiolani Blvd, Ste 418, Honolulu, HI 96814-4400 | 2005-06-08 |
| 1700385606 | Anthony Poon | Dentist | 1441 Kapiolani Blvd, Suite 720, Ala Moana Bldg, Honolulu, HI 96814 | 2018-02-06 |
| 1386177996 | Amy Harvey | Pharmacist | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2017-04-10 |
| 1164965505 | Lucas Paul Kawika Morgan | Psychologist | 1441 Kapiolani Blvd, Suite 1802, Honolulu, HI 96814-4402 | 2016-12-01 |
| 1376991471 | Pacific Psychology Services Center, LLC | Clinic/Center | 1441 Kapiolani Blvd, Suite 621, Honolulu, HI 96814-4402 | 2016-05-31 |
| 1013371491 | Chie Nishimura | Nurse Practitioner | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2016-04-11 |
| 1902264120 | Chiara Bonvini | Physical Therapist | 1441 Kapiolani Blvd, Suite 1113, Honolulu, HI 96814-4402 | 2016-02-02 |
| 1407228695 | Dr. Brigette F Kuhn Inc | Podiatrist | 1441 Kapiolani Blvd, Suite 1111, Honolulu, HI 96814-4402 | 2015-10-27 |
| 1811363385 | Julia Fagan | Social Worker | 1441 Kapiolani Blvd, Suite 1600, Honolulu, HI 96814-4402 | 2015-08-19 |
| 1336515592 | Oral Surgery Hawaii LLP | Dentist | 1441 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4402 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| 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 |
|---|---|---|---|---|
| 1528689452 | Wendi N. Harada, O.d., Inc. | Optometrist | 1450 Ala Moana Blvd Ste 1300, Honolulu, HI 96814-4624 | 2020-05-01 |
| 1306408661 | Jennifer Michie Teruya | Optometrist | 7766 Waikapu Loop, Honolulu, HI 96825-3025 | 2019-07-07 |
| 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 |
| 1750867727 | Joanna Ngoc Ma | Optometrist | 4211 Waialae Ave Ste 108, Honolulu, HI 96816-5300 | 2018-07-12 |
| 1235645615 | Grant Y. Fusato, Od | Optometrist | 4510 Salt Lake Blvd Ste B11, Honolulu, HI 96818-3171 | 2017-12-20 |
| 1275062614 | Irvin Tsumoto | Optometrist | 1450 Ala Moana Blvd #3265, Honolulu, HI 96814 | 2017-06-08 |
| 1467987636 | Calvin Alonzo Od, Inc | Optometrist | 405 N Kuakini St Ste 605, Honolulu, HI 96817-6302 | 2017-04-25 |
| 1356742944 | Dr Michael Vanlangeveld and Associates LLC | Optometrist | 1050 Ala Moana Blvd Ste 1325, Honolulu, HI 96814-4922 | 2014-09-15 |
| 1881000487 | Lizeth Rebeca Delgado | Optometrist | 1401 S Beretania St Ste 570, Honolulu, HI 96814-1871 | 2014-07-03 |
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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.