Individual provider Active NPI

Victoria Alexis Hamrick, OD

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1124782974
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-967 Issued in HI
Practice address
2228 Liliha St Ste 102a
Honolulu, HI 96817-1651
Phone
(808) 533-7400
Fax
(808) 521-7798
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-967 HI Primary

Addresses

Primary practice location

2228 Liliha St Ste 102a
Honolulu, HI 96817-1651

Mailing address

13 Appaloosa Way
Carlisle, PA 17015-9049
Phone (717) 525-1587

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
I20220113000374 HI Practitioner - Optometry 4981092558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Eye Surgery Center IncGroup PAC ID 1759370182, 3 clinicians

Practice addresses (Care Compare)

2228 Liliha St
Suite 102a
Honolulu, HI 96817-1651
Phone (808) 533-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-967HIMDOptometrist

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Pacific Eye Surgery Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Hawaii Vision Institute LLC Optometrist CurrentSince Aug 11, 2025 Accepting new patients
Eugene W M NG MD LLC Optometrist CurrentSince Aug 11, 2025 Accepting new patients

Locations

2228 Liliha St
Ste 102A
Honolulu, HI 96817
Phone (808) 533-7400

407 Uluniu St
Ste 109
Kailua, HI 96734
Phone (808) 262-4071

407 Uluniu St
Ste 312
Kailua, HI 96734
Phone (808) 262-0544

94-871 Farrington Hwy
Ste 200
Waipahu, HI 96797
Phone (808) 677-7400

94-871 Farrington Hwy
Waipahu, HI 96797
Phone (808) 677-7400

Networks

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

Organizations & group practices 3

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1124782974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 APPALOOSA WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159049",
            "telephone_number": "717-525-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST STE 102A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171651",
            "telephone_number": "808-533-7400",
            "fax_number": "808-521-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "VICTORIA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.