Individual provider Active NPI

Camila K Nakasone, OD

  • Optometrist
  • Hilo, HI
National Provider Identifier
1184295040
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-992 Issued in HI
Practice address
34 W Kawailani St
Hilo, HI 96720-5649
Phone
(503) 220-8262
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4582 OR
Optometrist 152W00000X OD-992 HI Primary

Addresses

Primary practice location

34 W Kawailani St
Hilo, HI 96720-5649

Mailing address

34 W Kawailani St
Hilo, HI 96720-5649

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
I20240613000306 HI Practitioner - Optometry 1254873615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mrs Hilo LLCGroup PAC ID 7517381908, 5 clinicians

Practice addresses (Care Compare)

34 W Kawailani St
Hilo, HI 96720-5649
Phone (808) 935-8887

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4582ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Optometry of America PLLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Mrs Hilo LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients

Locations

34 W Kawailani St
Hilo, HI 96720
Phone (808) 735-1935

Networks

  • 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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1184295040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205649",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASONE",
        "first_name": "CAMILA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4582",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.