Individual provider Active NPI

Nicole Yokoyama

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1255992996
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
914 Issued in HI
Practice address
1221 Kapiolani Blvd Ste 120
Honolulu, HI 96814-3501
Phone
(808) 596-4445
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 914 HI Primary

Addresses

Primary practice location

1221 Kapiolani Blvd Ste 120
Honolulu, HI 96814-3501

Mailing address

338 Anapalau St
Honolulu, HI 96825-2242
Phone (808) 230-0407

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
I20190814000882 HI Practitioner - Optometry 3476880451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DVV Hawaii IncGroup PAC ID 4981701026, 2 clinicians

Practice addresses (Care Compare)

1221 Kapiolani Blvd
Suite 120
Honolulu, HI 96814-3501
Phone (808) 596-4445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
914HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ophthalmology Associates of Hawaii Inc CurrentSince Jul 8, 2019 Accepting new patients
Edwin Yoshio Endo Optometrist CurrentSince Jul 8, 2019 Accepting new patients
DVV Hawaii, Inc. Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Sherilyne M. Tarumoto O D LLC Optometrist PastSince Jul 8, 2019 Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 105
Aiea, HI 96701
Phone (808) 487-5500

1221 Kapiolani Blvd
Ste 120
Honolulu, HI 96814
Phone (808) 395-4720

1319 Punahou St
Ste 1030
Honolulu, HI 96826
Phone (808) 942-5570

Organizations & group practices 4

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1255992996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ANAPALAU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252242",
            "telephone_number": "808-230-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD STE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143501",
            "telephone_number": "808-596-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKOYAMA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.