Rae Reiko Nagahiro, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

207 Issued in HI

Practice address

840 Wainee St
Ste 204
Lahaina, HI 96761-2319

Phone

(808) 667-9556

Fax

(808) 667-9557

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1043310642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WAINEE ST",
            "address_2": "STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612319",
            "telephone_number": "808-667-9556",
            "fax_number": "808-667-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WAINEE ST",
            "address_2": "STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612319",
            "telephone_number": "808-667-9556",
            "fax_number": "808-667-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAHIRO",
        "first_name": "RAE",
        "middle_name": "REIKO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5209680001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Mora, LMT
• Kyle E. Mouery, MD
• Mountain Radiology, Inc
• Dwight C Mounts, DDS
• Julie Munemitsu, LMHC
• Napili Market Lab #1297
• David Nelson
• Erik Leslie Nelson, O.D.
• Luna Mae Noel, PA-C
• Chelsea J North, LMT

• Optometrist in Lahaina, HI
• Providers in Lahaina, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.