Individual provider Active NPI

Dirk Vernon Fujii, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1063425536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
421 Issued in HI
Practice address
1441 Kapiolani Blvd
Suite 805
Honolulu, HI 96814-4402
Phone
(808) 946-6136
Fax
(808) 943-6236
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 421 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd
Suite 805
Honolulu, HI 96814-4402

Mailing address

1441 Kapiolani Blvd
Suite 805
Honolulu, HI 96814-4402
Phone (808) 946-6136

Other identifiers 1

IdentifierTypeStateIssuer
00221901MedicaidHI

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
I20050929001312 HI Practitioner - Optometry 6800821612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 805
Honolulu, HI 96814-4404
Phone (808) 946-6136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
421HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dirk V Fujii Optometrist, Inc Optometrist CurrentSince Apr 18, 2010 Accepting new patients
Dr. Dirk V. Fujii, Optometrist Inc. Optometrist Current Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 805
Honolulu, HI 96814
Phone (808) 395-8825

579 Farrington Hwy
Ste 101
Kapolei, HI 96707
Phone (808) 674-2273

Networks

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063425536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-946-6136",
            "fax_number": "808-943-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-946-6136",
            "fax_number": "808-943-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "DIRK",
        "middle_name": "VERNON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00221901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.