Jasmine Fujimoto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-1030 Issued in HI

Practice address

615 Piikoi St Ste 1210
Honolulu, HI 96814-3141

Phone

(808) 356-3820

NPI assigned

Jun 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eugene W M NG MD LLCGroup PAC ID 6507025772, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (3 of 4)

Locations

Networks

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

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.

• Eugene W M NG MD LLC

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1396014031

  HI, Optometrist

  Medicare reassignment Care Compare group NPD
• Hawaii Vision Institute LLC

  • Ophthalmology Physician
  • Hilo, HI
  • NPI 1720879752

  HI, Optometrist

  Medicare reassignment NPD
• Big Island Foot Care, Inc

  • Podiatrist
  • Hilo, HI
  • NPI 1225207830
  NPD (past)

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1205679644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143141",
            "telephone_number": "808-381-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143141",
            "telephone_number": "808-356-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-170 Hualalai Rd Ste B105",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401780",
            "country_code": "US",
            "telephone_number": "808-356-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Lanihuli St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207205",
            "country_code": "US",
            "telephone_number": "808-961-4711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1178 Kinoole St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207206",
            "country_code": "US",
            "telephone_number": "808-969-1419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Uluniu St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342531",
            "country_code": "US",
            "telephone_number": "808-356-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "JASMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Aaron Satoru Fujimoto, MD
• Chrystie Kimie Fujimoto, M.D.
• Cierra Fujimoto
• David K. Fujimoto, O.D.
• Gary Masaru Fujimoto, M.D.
• Michael Mitsuo Fujimoto
• Nathan H. Fujimoto, MD
• Amy Y. Fujinaka, MD
• Kelsey Fujinaka, PSY.D.
• Lawrence Masato Fujioka, DDS

• All providers in Honolulu, HI
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.