Active NPI
Matsuyamas O D Inc
- Optometrist
- Aiea, HI
National Provider Identifier
1013036128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 130
- Legal business name
- MATSUYAMAS O D INC
- Practice address
- 98-150 Kaonohi St
B211
Aiea, HI 96701-5047 - Phone
- (808) 486-3937
- Fax
- (808) 486-3386
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wayne Susumu Matsuyama, O.D.
- Title
- President
- Phone
- (808) 486-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 130 | HI | Primary |
Addresses
Primary practice location
98-150 Kaonohi St
B211
Aiea, HI 96701-5047
Mailing address
98-150 Kaonohi St
B211
Aiea, HI 96701-5047
Phone (808) 486-3937
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05156700 | Medicaid | HI | |
| B5892-1 | Other | HI | HMSA |
| HI90130 | Other | HI | VISION BENEFITS |
| 00B0058921 | Medicaid | HI | |
| 576602066 | Other | HI | VISION SERVICE PLAN |
| 05156701 | Medicaid | HI | |
| 193775 | Other | HI | SUMMERLIN |
| OP0579 | Other | HI | EYEMED |
| 193775 | Other | HI | HMA |
| 57660206621 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| 576602066264 | Other | HI | UNIVERSITY HEALTH ALLIANC |
Other names 1
- Styleyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
98-150 Kaonohi St
Ste B211
Aiea, HI 96701
Phone (808) 486-3937
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Optometrist
- Aiea, HI
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- Optometrist
- Honolulu, HI
- NPI 1942389879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1013036128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "B211",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-486-3937",
"fax_number": "808-486-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "B211",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-486-3937",
"fax_number": "808-486-3386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATSUYAMAS O D INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "MATSUYAMA",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "SUSUMU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-486-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "HI",
"license": "130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05156700",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "B5892-1",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS",
"identifier": "HI90130",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00B0058921",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "576602066",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05156701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMERLIN",
"identifier": "193775",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OP0579",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA",
"identifier": "193775",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "57660206621",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "576602066264",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Styleyes",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.