Active NPI
Walter M Yamamoto, O.D.
- Optometrist
- Aiea, HI
National Provider Identifier
1063543676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- O.D. 172
- Practice address
- 99-205 Moanalua Rd
Ste 210
Aiea, HI 96701-4088 - Phone
- (808) 487-1010
- Fax
- (808) 488-3433
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | O.D. 172 | HI | Primary |
Addresses
Primary practice location
99-205 Moanalua Rd
Ste 210
Aiea, HI 96701-4088
Mailing address
99-205 Moanalua Rd
Ste 210
Aiea, HI 96701
Phone (808) 487-1010
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990331542 | Other | HI | VSP |
| WALTER M YAMAMOTO OC | Other | HI | HMA INC DBA HEALTH MGMT |
| HWYAMA | Other | HI | MEDICARE NUMBER |
| A001258-1 | Other | HI | HMSA |
| 990331542 | Other | HI | UHA |
| 990331542 | Other | HI | KAISER PERMANENTE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000679 | HI | Practitioner - Optometry | 9133251333 | Practice locations: Aiea, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O.D. 172 | HI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1063543676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-205 MOANALUA RD",
"address_2": "STE 210",
"city": "AIEA",
"state": "HI",
"postal_code": "96701",
"telephone_number": "808-487-1010",
"fax_number": "808-488-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-205 MOANALUA RD",
"address_2": "STE 210",
"city": "AIEA",
"state": "HI",
"postal_code": "967014088",
"telephone_number": "808-487-1010",
"fax_number": "808-488-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "WALTER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "O.D. 172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "990331542",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA INC DBA HEALTH MGMT",
"identifier": "WALTER M YAMAMOTO OC",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "HWYAMA",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A001258-1",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "990331542",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "990331542",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}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 Feb 14, 2019; 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.