Individual provider Active NPI

Stuart K Machida, OD

  • Optometrist
  • Kailua, HI
National Provider Identifier
1295809101
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
357 Issued in HI
Practice address
30 Aulike St
Suite 102
Kailua, HI 96734-2707
Phone
(808) 262-8107
Fax
(808) 262-8108
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 357 HI Primary

Addresses

Primary practice location

30 Aulike St
Suite 102
Kailua, HI 96734-2707

Mailing address

30 Aulike St
Suite 102
Kailua, HI 96734-2707
Phone (808) 262-8107

Other identifiers 1

IdentifierTypeStateIssuer
00962401MedicaidHI

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
I20060105000746 HI Practitioner - Optometry 4183647050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Aulike St
Suite 102
Kailua, HI 96734-2750
Phone (808) 262-8107

46-056 Kam Hwy
Kaneohe, HI 96744

46-056 Kam Hwy
Kaneohe, HI 96744-3755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
357HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Vision Center Associates, Inc. Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

30 Aulike St
Ste 102
Kailua, HI 96734
Phone (808) 262-8107

46-056 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 235-1884

46-056 Kamehameha Hwy
Ste 251
Kaneohe, HI 96744
Phone (808) 235-6641

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1295809101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-262-8107",
            "fax_number": "808-262-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIDA",
        "first_name": "STUART",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00962401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.