Active NPI
Chris Keiji Yamamoto, O.D.
- Optometrist
- Honolulu, HI
National Provider Identifier
1194863910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 150
- 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
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04596801 | Medicaid | HI | |
| 0414520001 | Other | HI | MEDICARE DMERC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | HI | MD | Optometrist |
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04596801",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "0414520001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.