MEDICARE: DR. MELVIN E KAU O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	100	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962456046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN E KAU O.D.

Provider Business Mailing Address
First Line	:	91-902 FORT WEAVER RD
Second Line	:	SUITE 206
City	:	EWA BEACH
State	:	HI
Zip	:	96706-2261
Country	:	US
Telephone Number	:	808-689-8922
Fax Number	:	808-689-3326

Provider Business Practice Location Address
First Line	:	91-902 FORT WEAVER RD
Second Line	:	SUITE 206
City	:	EWA BEACH
State	:	HI
Zip	:	96706-2261
Country	:	US
Telephone Number	:	808-689-8922
Fax Number	:	808-689-3326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2006
Last Update Date	:	03/18/2008

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