DR. DARRAN KIM (NPI# 1629570908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570908 |
| Entity Type | Individual |
| Full Name | DR. DARRAN KIM |
| Credential | OD |
| Practice Address |
24 Kiopa'a Street #102 Pukalani HI 96768 |
| Mailing Address |
1063 Lower Main St Apt 311 Wailuku HI 96793-2002 |
| Practice Telephone | 8082149074 |
| Mailing Telephone | 8082838812 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD-911 | HI | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19500 Se Stark St, Portland, OR 972335757 | 3605713084 |
| Street Address |
24 KIOPA'A STREET #102 |
| City | PUKALANI |
| State | HI |
| Zip Code | 96768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016853 | Jennifer Marie Slaughter | Social Worker | 1931 Baldwin Ave., Makawao, HI 96768 | 2019-10-31 |
| 1265083018 | Jacob Joseph Wardach | Nurse Practitioner | 81 Makawao Ave #100, Makawao, HI 96768 | 2019-09-24 |
| 1487196226 | On The Path Counseling, LLC | Marriage & Family Therapist | 21 B Kealaloa Ave, Makawao, HI 96768 | 2016-11-10 |
| 1255794517 | Kimberly Dolan | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2016-04-03 |
| 1023406238 | Sarah Chin Kasai | Optometrist | 8 Kiopaa Street, #102, Makawao, HI 96768 | 2014-12-23 |
| 1407251192 | Vida Rose Yap | Counselor | 1931 Baldwin Avenue, Makawao, HI 96768 | 2014-10-24 |
| 1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
| 1023364213 | Adrianna Marie Flavin | Psychologist | 7 Aewa Place, Unit 7-a, Pukalani, HI 96768 | 2012-07-25 |
| 1184982514 | Nina Vishnevska | Psychiatry & Neurology | 1 Kahakapao Rd., Makewao, HI 96768 | 2012-04-23 |
| 1538451174 | Shelagh Jane Lampshire | Massage Therapist | 1043 Makawao Ave., Ste, 207, Makawao, HI 96768 | 2011-05-13 |
| Find all providers in zip 96768 | ||||
| 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 |
| 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.