Individual provider Active NPI

Chris Keiji Yamamoto, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1194863910
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
150 Issued in HI
Practice address
2024 N King St Ste 105
Honolulu, HI 96819-3470
Phone
(808) 848-0527
Fax
(808) 848-0528
NPI assigned
Feb 2, 2007
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 150 HI Primary

Addresses

Primary practice location

2024 N King St Ste 105
Honolulu, HI 96819-3470

Mailing address

2024 N King St Ste 105
Honolulu, HI 96819-3470
Phone (808) 848-0527

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
I20111205000467 HI Practitioner - Optometry 6901916345 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2024 N King St
Honolulu, HI 96819-3470
Phone (808) 848-0527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1194863910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-848-0527",
            "fax_number": "808-848-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-848-0527",
            "fax_number": "808-848-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "CHRIS",
        "middle_name": "KEIJI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.