Individual provider Active NPI

Yvette N. Hida, O.D.

  • Corneal and Contact Management Optometrist
  • Wahiawa, HI
National Provider Identifier
1124196902
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
336 Issued in HI
Practice address
610 Kilani Avenue
Wahiawa, HI 96786
Phone
(808) 622-2020
Fax
(808) 622-9009
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 336 HI Primary

Addresses

Primary practice location

610 Kilani Avenue
Wahiawa, HI 96786

Mailing address

610 Kilani Avenue
Wahiawa, HI 96786
Phone (808) 622-2020

Other identifiers 1

IdentifierTypeStateIssuer
07120203MedicaidHI

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
I20070716000551 HI Practitioner - Optometry 2365447083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 Kilani Ave
Wahiawa, HI 96786-1904
Phone (808) 622-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yvette NS Hida O D Inc Corneal and Contact Management CurrentSince Feb 2, 2006 Accepting new patients
James H Sakamoto OD Inc PastSince Jan 1, 2007 Accepting new patients

Locations

610 Kilani Ave
Wahiawa, HI 96786
Phone (808) 622-2020

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1124196902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 KILANI AVENUE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "808-622-2020",
            "fax_number": "808-622-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KILANI AVENUE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "808-622-2020",
            "fax_number": "808-622-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDA",
        "first_name": "YVETTE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "HI",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07120203",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

Verify at the official NPI Registry.