Gerald M Matsuda

Primary specialty

OptometristTaxonomy code 152W00000X

License

184 Issued in HI

Practice address

30 Aulike St
Suite 102
Kailua, HI 96734-2707

Phone

(808) 262-8107

Fax

(808) 262-8108

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

Networks

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

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.

• Windward Vision Center Associates, Inc.

  • Optometrist
  • Kaneohe, HI
  • NPI 1720101611
  Medicare reassignment NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1164596979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDA",
        "first_name": "GERALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01360601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Maser
• Craig Alan Mason, DDS
• Courtney Renee Mateo
• Steven Mates, DO
• Ashley Mathe
• Pamela Sachie Matsuda, LCSW
• Dwight H Matsumura, MD
• Tessa Matthes
• Dionicia A C Mau, FNP
• Maureen Mench, PSYD.,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.