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DERELYNE KUULANI ROSE GANDIA O.D.
NPI 1871781153
Optometrist in Lihue, HI

Active since October 11, 2007PECOS EnrolledAccepts Medicare Assignment
4414 KUKUI GROVE ST., STE. 101, LIHUE, HI 96766(808) 632-2020 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derelyne Kuulani Rose Gandia O.d. NPPES

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

DERELYNE KUULANI ROSE GANDIA O.D. (NPI 1871781153) is an individual optometrist in Lihue, Hawaii, licensed in Hawaii (OD674) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2006).

NPPES Registry Identity

NPI1871781153
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDERELYNE KUULANI ROSE GANDIACredential: O.D.
Location Address4414 KUKUI GROVE ST., STE. 101Lihue, HI 96766
Mailing Address4414 Kukui Grove St., Suite 101Lihue, HI 96766 · (808) 212-6235 · Fax (808) 632-2020
Phone(808) 632-2020
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2006
Enumeration DateOctober 11, 2007
Last NPPES UpdateOctober 18, 2017
✔ NPI 1871781153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in HI · OD674✔ Licensed in CA · 13180T
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.
4414 KUKUI GROVE ST., Lihue, HI 96766
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Other Identifiers 2

Medicare PINCR782XHI
Medicaid61300102HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derelyne Kuulani Rose Gandia 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 ID4789761081
PECOS Enrollment IDI20080410000801
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.

Areas of Expertise CMS Part B claims 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services33 patients
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.
34 services18 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
21 services21 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 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.

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 Derelyne Gandia's NPI number?

The NPI number for Derelyne Gandia is 1871781153. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Derelyne Gandia located?

Derelyne Gandia practices at 4414 Kukui Grove St. Ste. 101, Lihue, HI 96766. The listed phone number is (808) 632-2020.

What is Derelyne Gandia's specialty?

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

Is Derelyne Gandia enrolled in Medicare?

Yes. Derelyne Gandia 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.

What insurance does Derelyne Gandia accept?

Health plans from Providence Health Plan list Derelyne Gandia 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 Derelyne Gandia was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.