Individual provider Active NPI

Peter J. Shoji, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1073570503
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
217 Issued in HI
Practice address
449 Kapahulu Ave
206
Honolulu, HI 96815-3850
Phone
(808) 735-8080
Fax
(808) 732-3927
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 217 HI Primary

Addresses

Primary practice location

449 Kapahulu Ave
206
Honolulu, HI 96815-3850

Mailing address

449 Kapahulu Ave
206
Honolulu, HI 96815-3850
Phone (808) 735-8080

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
I20051103001065 HI Practitioner - Optometry 7810890332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kato and Shoji Inc.Group PAC ID 0840193363, 2 clinicians

Practice addresses (Care Compare)

449 Kapahulu Ave
Suite 206
Honolulu, HI 96815-3850
Phone (808) 735-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kato & Shoji Inc. Optometrist CurrentSince Oct 1, 1999 Accepting new patients
Kato & Shoji Inc. Optometrist CurrentSince Oct 1, 1999 Accepting new patients

Locations

2851 East Manoa Rd
Ste 1-201
Honolulu, HI 96822
Phone (808) 988-7748

449 Kapahulu Ave
Ste 206
Honolulu, HI 96815
Phone (808) 735-8080

Networks

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

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1073570503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVE",
            "address_2": "206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153850",
            "telephone_number": "808-735-8080",
            "fax_number": "808-732-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVE",
            "address_2": "206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153850",
            "telephone_number": "808-735-8080",
            "fax_number": "808-732-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJI",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.