Wendi Nobuko Harada Shibayama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

HI600 Issued in HI

Practice address

91-600 Farrington Hwy Unit 3
Kapolei, HI 96707-4509

Phone

(808) 674-4488

NPI assigned

Mar 28, 2008

Last updated

Sep 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Wendi Nobuko Harada 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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wendi N Harada OD IncGroup PAC ID 3476694100, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wendi N Harada OD Inc

  dba Hawaii Vision Associates

  • Optometrist
  • Kaneohe, HI
  • NPI 1215266523
  Medicare reassignment Care Compare group
• Wendi N Harada OD Inc

  dba Hawaii Vision Associates

  • Optometrist
  • Kapolei, HI
  • NPI 1831449958
  NPD (past)
• Wendi N. Harada, O.D., Inc.

  dba Hawaii Vision Associates

  • Optometrist
  • Aiea, HI
  • NPI 1174938732
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1316119423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-600 FARRINGTON HWY UNIT 3",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074509",
            "telephone_number": "808-674-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-600 FARRINGTON HWY UNIT 3",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074509",
            "telephone_number": "808-674-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBAYAMA",
        "first_name": "WENDI",
        "middle_name": "NOBUKO HARADA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "HI600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN ASSOCIATED WITH GROUP NPI 1215266523",
            "identifier": "CP278Z",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDI",
            "last_name": "HARADA",
            "middle_name": "NOBUKO",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bianca Warrington Shaw
• Silvia Shaw
• Sheri Yasuna, PH.D., LLC
• Jacqueline Haywood Sherman, PHD
• Emily A Shetler, SLP
• Chinami Shimabukuro, LMT
• Reid Tamotsu Shimada, PHARMD
• Camryn Rae Siegel
• Monalice A Sildora
• Alissa Silva

• Optometrist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.