Individual provider Active NPI

Jamie Shizuko Teshima, OD

  • Optometrist
  • Makawao, HI
National Provider Identifier
1265004493
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-954 Issued in HI
Practice address
24 Kiopaa PL Ste 102
Makawao, HI 96768-8295
Phone
(808) 214-9074
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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-954 HI Primary

Addresses

Primary practice location

24 Kiopaa PL Ste 102
Makawao, HI 96768-8295

Mailing address

255 Ekoa PL
Wailuku, HI 96793-1501
Phone (808) 269-2457

Other practice location 1

101 Pakaula St
Kahului, HI 96732-3508
Phone (808) 873-9588

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
I20210806001075 HI Practitioner - Optometry 1759785124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Lee and Leong OD LLCGroup PAC ID 8325058506, 5 clinicians
Maui Optix LLCGroup PAC ID 7517005010, 5 clinicians

Practice addresses (Care Compare)

101 Pakaula St
Kahului, HI 96732-3508
Phone (808) 873-9588

24 Kiopaa PL
Suite 102
Makawao, HI 96768-8295
Phone (808) 241-9074

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
83.66
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
80.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Lee & Leong OD LLC CurrentSince Jul 1, 2021 Accepting new patients
Maui Optix LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients

Locations

101 Pakaula St
Kahului, HI 96732
Phone (808) 871-7012

24 Kiopaa Pl
Ste 102
Makawao, HI 96768
Phone (808) 214-9074

Organizations & group practices 3

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1265004493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EKOA PL",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931501",
            "telephone_number": "808-269-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 KIOPAA PL STE 102",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688295",
            "telephone_number": "808-214-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pakaula St",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967323508",
            "country_code": "US",
            "telephone_number": "808-873-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESHIMA",
        "first_name": "JAMIE",
        "middle_name": "SHIZUKO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.