Glenn Shigezawa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

235 Issued in HI

Practice address

1221 Kapiolani Blvd
PH20
Honolulu, HI 96814-3503

Phone

(808) 597-8156

Fax

(808) 597-8156

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1144357757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "PH20",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-597-8156",
            "fax_number": "808-597-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "PH20",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-597-8156",
            "fax_number": "808-597-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGEZAWA",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02138301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shigemi Sugiki MD & Jon M Portis MD, Inc.
• Teja Shigemitsu
• Renae Hoong Lan Shigemura, ATC
• Ann Shigetomi
• Allison Shigezawa, MD
• Nadine Shigezawa, PH.D.
• Kelsey Michiko Shikuma Lee, MD
• Cecilia Shikuma, M.D.
• Laine Shikuma, APRN
• Cythina Gay Shilling, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.