Individual provider Active NPI

Neal Mamoru Kubo, O.D.

  • Optometrist
  • Waipahu, HI
National Provider Identifier
1205880804
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-391 Issued in HI
Practice address
94-300 Farrington Hwy
Waipahu, HI 96797-2648
Phone
(808) 677-2333
Fax
(808) 677-2313
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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-391 HI Primary

Addresses

Primary practice location

94-300 Farrington Hwy
Waipahu, HI 96797-2648

Mailing address

95-1002 Kahanui St
Mililani, HI 96789-4963
Phone (808) 677-2333

Other identifiers 1

IdentifierTypeStateIssuer
04489001MedicaidHI

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
I20060105000445 HI Practitioner - Optometry 3870516818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2104 Lauwiliwili St
Suite 102K
Kapolei, HI 96707-1869

94-300 Farrington Hwy
Waipahu, HI 96797-2699
Phone (808) 677-1566

95 -1002 Kahanui St
Mililani, HI 96789-4963

PO Box
Honolulu, HI 96820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neal M. Kubo O.D. Inc. Optometrist CurrentSince Jan 14, 2016 Accepting new patients

Locations

94-300 Farrington Hwy
Ste E02
Waipahu, HI 96797
Phone (808) 677-2333

94-300 Farrington Hwy
Waipahu, HI 96797
Phone (808) 677-1433

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205880804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1002 KAHANUI ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894963",
            "telephone_number": "808-677-2333",
            "fax_number": "808-677-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-677-2333",
            "fax_number": "808-677-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "NEAL",
        "middle_name": "MAMORU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04489001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.