Individual provider Active NPI

Maile N. Miki, OD

  • Optometrist
  • Mililani, HI
National Provider Identifier
1083133045
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
866 Issued in HI
Practice address
95-550 Lanikuhana Ave
Mililani, HI 96789-1783
Phone
(808) 623-0702
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 866 HI Primary

Addresses

Primary practice location

95-550 Lanikuhana Ave
Mililani, HI 96789-1783

Mailing address

1212 Nuuanu Ave Apt 2110
Honolulu, HI 96817-4028
Phone (808) 285-1325

Other practice location 1

55 S Kukui St
Honolulu, HI 96813-2310
Phone (808) 531-8874

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
I20190322001295 HI Practitioner - Optometry 4880934132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanley K. Sato, O.D., LLCGroup PAC ID 6204008329, 5 clinicians
Liane N. Casuga, O.D.,Inc.Group PAC ID 2062836448, 3 clinicians

Practice addresses (Care Compare)

94 -595 Kupuohi St
Waipahu, HI 96797-5382
Phone (808) 688-0841

95 -550 Lanikuhana Ave
Mililani, HI 96789-1783
Phone (808) 623-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
866HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley K. Sato, O.D., LLC Optometrist CurrentSince Dec 24, 2018 Accepting new patients
Liane N. Casuga, O.D.,Inc. Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

95-550 Lanikuhana Ave
Mililani, HI 96789
Phone (808) 623-0702

94-615 Kupuohi St
Ste 203B
Waipahu, HI 96797

94-595 Kupuohi St
Waipahu, HI 96797
Phone (808) 688-0700

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083133045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NUUANU AVE APT 2110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174028",
            "telephone_number": "808-285-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-550 LANIKUHANA AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891783",
            "telephone_number": "808-623-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 S Kukui St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132310",
            "country_code": "US",
            "telephone_number": "808-531-8874",
            "fax_number": "808-523-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKI",
        "first_name": "MAILE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.