Individual provider Active NPI

Jennifer Filiatreau, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1033189063
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
926 Issued in HI
Practice address
2229 N School St
Honolulu, HI 96819-2588
Phone
(808) 791-9400
NPI assigned
Jan 24, 2006
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 926 HI Primary

Addresses

Primary practice location

2229 N School St
Honolulu, HI 96819-2588

Mailing address

2229 N School St
Honolulu, HI 96819-2588
Phone (808) 791-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000556 HI Practitioner - Optometry 1658690953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2229 N School St
Honolulu, HI 96819-2588

2239 N School St
Honolulu, HI 96819-2539
Phone (808) 791-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
926HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waikiki Health CurrentSince Jul 14, 2024 Accepting new patients
Waikiki Health Current Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Mar 19, 2024 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Mar 19, 2024 Accepting new patients
Waikiki Health Past Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services Past Accepting new patients

Locations

2229 N School St
Honolulu, HI 96819
Phone (808) 791-9400

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 922-4787

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

935 Makahiki Way
Honolulu, HI 96826
Phone (808) 739-7346

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1033189063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192588",
            "telephone_number": "808-791-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192588",
            "telephone_number": "808-791-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIATREAU",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.