PHILLIP JOSEPH DURAN O.D.
NPI 1639433006
Optometrist in Honolulu, HI

Q: What is Phillip Duran's NPI number?

The NPI number for Phillip Duran is 1639433006. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Q: What is Phillip Duran's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Duran was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment

1620 ALA MOANA BLVD, SUITE 500, HONOLULU, HI 96815(808) 955-0255(808) 955-4155 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Phillip Joseph Duran O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP JOSEPH DURAN O.D. (NPI 1639433006) is an individual optometrist in Honolulu, Hawaii, licensed in Hawaii (1234) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2012).

NPPES Registry Identity

NPI1639433006

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePHILLIP JOSEPH DURANCredential: O.D.

Location Address1620 ALA MOANA BLVD, SUITE 500Honolulu, HI 96815-1437

Mailing AddressPo Box 1300, Mailcode 61072Honolulu, HI 96807-1300 · (808) 955-0255 · Fax (808) 955-4155

Phone(808) 955-0255

Fax(808) 955-4155

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2012

Enumeration DateJune 29, 2012

Last NPPES UpdateAugust 19, 2014

✔ NPI 1639433006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in HI · 1234

Definition

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.

1620 ALA MOANA BLVD, Honolulu, HI 96815

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Joseph Duran O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072741248

PECOS Enrollment IDI20140115000420

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Phillip Duran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Girisgen & Kopolow Od PC

2,751 mi

Optometrist

9460 W FLAMINGO RD STE 100
Las Vegas, NV 89147

Reassigned Medicare billing, Nevada enrollment
75 clinicians in this Medicare group

NPI 1063089084 (702) 452-2020

Kopolow & Girisgen Professional Corporation

2,755 mi

Optometrist

7361 W LAKE MEAD BLVD, STE 104
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
63 clinicians in this Medicare group

NPI 1518904622 (702) 341-7254

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DARREN BENNETT M.D.

Ophthalmology

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

MAKA LAB SERVICES COMPANY LLC

Technician/Technologist

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

HAWAII RETINA RESEARCH FOUNDATION

Ophthalmology

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

MS. WENDY YEE M.D.

Specialist

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

HALE MAKA IKE LLC

Optometrist

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

KELLEN KENJI KAWIKA KASHIWA O.D.

Optometrist

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

CLIFTON SAUNDERS OTTO MD

Ophthalmology

1620 ALA MOANA BLVD, STE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

CEC EYE CENTER LLC

Ophthalmology

1620 ALA MOANA BLVD, SUITE 500
HONOLULU, HI 96815

Honolulu County (808) 955-0255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Duran's NPI number?

The NPI number for Phillip Duran is 1639433006. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Phillip Duran located?

Phillip Duran practices at 1620 Ala Moana Blvd Suite 500, Honolulu, HI 96815. The listed phone number is (808) 955-0255.

What is Phillip Duran's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip Duran enrolled in Medicare?

Yes. Phillip Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Phillip Duran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Duran reassigns Medicare benefits to 2 organizations: Girisgen & Kopolow Od PC (Las Vegas, NV) and Kopolow & Girisgen Professional Corporation (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Duran accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Phillip Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Duran was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.