Organization Active NPI

Michael J Miyashiro MD Inc

  • Ophthalmology Physician
  • Hilo, HI
National Provider Identifier
1306998117
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10320 Issued in HI
Legal business name
MICHAEL J MIYASHIRO MD INC
Practice address
47 Lanihuli Street
Hilo, HI 96720-4142
Phone
(808) 961-4711
Fax
(808) 969-3343
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Michael J Inamine, MD
Title
President Owner
Phone
(808) 961-4711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OD519 HI
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 10320 HI Primary

Addresses

Primary practice location

47 Lanihuli Street
Hilo, HI 96720-4142

Mailing address

47 Lanihuli Street
Hilo, HI 96720-4142
Phone (808) 961-4711

Other identifiers 1

IdentifierTypeStateIssuer
52128801MedicaidHI

Other names 1

  • Ludwig Ophthalmology Centre Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1306998117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LANIHULI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204142",
            "telephone_number": "808-961-4711",
            "fax_number": "808-969-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LANIHULI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204142",
            "telephone_number": "808-961-4711",
            "fax_number": "808-969-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MIYASHIRO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "INAMINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "808-961-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD519",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "10320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52128801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludwig Ophthalmology Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.