Individual provider Active NPI

Maika Teal, OD

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1174367122
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-1042-0 Issued in HI
Practice address
1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437
Phone
(808) 955-0255
NPI assigned
Jun 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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-1042-0 HI Primary

Addresses

Primary practice location

1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437

Mailing address

44-718 Puamohala St
Kaneohe, HI 96744-2449
Phone (808) 387-3005

Other practice location 1

44-718 Puamohala St
Kaneohe, HI 96744-2449
Phone (808) 387-3005

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
I20240920002617 HI Practitioner - Optometry 6204377963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes Plus IncGroup PAC ID 4385664507, 2 clinicians

Practice addresses (Care Compare)

1049 Kakala St
Apt 102
Kapolei, HI 96707-4623
Phone (808) 674-0744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-1042-0HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christopher Sween Optometrist Inc Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Eyes Plus Inc Optometrist CurrentSince Mar 1, 2025 Accepting new patients

Locations

4589 Kapolei Pkwy
Kapolei, HI 96707
Phone (808) 674-3902

590 Farrington Hwy
Unit 521B
Kapolei, HI 96707
Phone (808) 674-0744

Networks

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

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1174367122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-718 PUAMOHALA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442449",
            "telephone_number": "808-387-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44-718 Puamohala St",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967442449",
            "country_code": "US",
            "telephone_number": "808-387-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAL",
        "first_name": "MAIKA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1042-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.