Marissa Matsuyama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

820 Issued in HI

Practice address

98-150 Kaonohi St Ste B211
Aiea, HI 96701-5022

Phone

(808) 486-3937

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matsuyamas O D IncGroup PAC ID 2365338597, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matsuyamas O D Inc

  • Optometrist
  • Aiea, HI
  • NPI 1013036128
  Medicare reassignment Care Compare group NPD
• Robb T. Shibayama, O.D., Inc.

  • Optometrist
  • Pearl City, HI
  • NPI 1629125752
  Medicare reassignment NPD
• Wendi N Harada OD Inc

  • Optometrist
  • Kaneohe, HI
  • NPI 1215266523
  Medicare reassignment NPD
• Robb T. Shibayama, O.D., Inc

  • Optometrist
  • Aiea, HI
  • NPI 1588296578
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1134591365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST STE B211",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST STE B211",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015022",
            "telephone_number": "808-486-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUYAMA",
        "first_name": "MARISSA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicklas Matsumoto
• Tyler Matsumoto
• Cara Yim Matsuura, NP-C
• Wayne T Matsuura, DDS
• Joy R Matsuyama, PHARMD
• Wayne Susumu Matsuyama, O.D.
• Matsuyamas O D Inc
• Jerome Gaius Liko Matthews, MAT
• Scott Dennis Matthias, ATC, CSCS, MBA
• Anne Lau Matute

• Optometrist in Aiea, HI
• Providers in Aiea, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.