Heather M Wawrzenski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD635 Issued in HI

Practice address

1000 Kamehameha Hwy
Suite 100
Pearl City, HI 96782-2881

Phone

(808) 456-3937

Fax

(808) 454-0683

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Heather M Teeter Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robb T. Shibayama, O.D., Inc.

  • Optometrist
  • Pearl City, HI
  • NPI 1629125752
  Medicare reassignment NPD
• Wendi N Harada OD Inc

  • Optometrist
  • Kaneohe, HI
  • NPI 1215266523
  Medicare reassignment
• Robb T. Shibayama, O.D., Inc

  • Optometrist
  • Aiea, HI
  • NPI 1588296578
  NPD
• Robb T. Shibayama, O.D., Inc

  • Optometrist
  • Honolulu, HI
  • NPI 1265788806
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1285755322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "address_2": "STE 100",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822596",
            "telephone_number": "808-388-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "address_2": "SUITE 100",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822881",
            "telephone_number": "808-456-3937",
            "fax_number": "808-454-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZENSKI",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12888",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "TEETER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Optometrist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.