Wally Kojima OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

250 Issued in HI

Legal business name

WALLY KOJIMA OD LLC

Practice address

73 5600 Maiau St
Kailua Kona, HI 96740-2630

Phone

(808) 331-8081

Fax

(808) 331-8081

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wallace Kojima, ODNPI 1245336445

Title

Managing Member / Owner

Phone

(808) 331-8081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wallace M Kojima, O.D.

  • Optometrist
  • Kailua Kona, HI
  • NPI 1245336445
  Medicare reassignment Care Compare group Authorized official
• Valerie Sachiko Kitamori, OD

  • Optometrist
  • Kailua Kona, HI
  • NPI 1548512874
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1255720223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 5600 MAIAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402630",
            "telephone_number": "808-331-8081",
            "fax_number": "808-331-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 5600 MAIAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402630",
            "telephone_number": "808-331-8081",
            "fax_number": "808-331-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLY KOJIMA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "KOJIMA",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "808-331-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Christine Waitley, LMHC
• Amy Wakefield-McDonald, LCSW
• Daniel John Walker, DDS
• Krista Walker, LCSW MSW JD
• Wallace R. Shrinski, MFT
• Walmart Inc.
• Walmart, Inc.
• Tina Walter
• Allan Veh Tuc Wang, MD, PHD
• Sophia J Wang, PHD

• Optometrist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.