Organization Active NPI

Maehara Eye Surgery & Laser LLC

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1356581425
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-2131 Issued in HI
Legal business name
MAEHARA EYE SURGERY & LASER LLC
Practice address
1441 Kapiolani Blvd.
Suite 1419
Honolulu, HI 96814-4407
Phone
(808) 955-3937
Fax
(808) 955-3930
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dennis Issei Maehara, M.D.NPI 1760589667
Title
President
Phone
(808) 955-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD-2131 HI Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD-11924 HI

Addresses

Primary practice location

1441 Kapiolani Blvd.
Suite 1419
Honolulu, HI 96814-4407

Mailing address

1441 Kapiolani Blvd.
Suite 1419
Honolulu, HI 96814-4407
Phone (808) 955-3937

Other names 1

  • Dennis I. Maehara, MD.,Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091117000531 HI Part B Supplier - Clinic/Group Practice 5294873949 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Waipahu, HI
O20120201000418 HI DME Supplier - Physician - Optometrist 5294873949 Practice locations: Honolulu, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Maehara Eye Surgery & Laser LLC1441 Kapiolani Blvd, Honolulu, HI 96814(808) 955-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 1, 2009

National Provider Directory

National Provider Directory

Locations

94-239 Waipahu Depot St
Ste 109
Waipahu, HI 96797
Phone (808) 671-3782

Practitioners & affiliated clinicians

Practitioners 2

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": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1356581425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD.",
            "address_2": "SUITE 1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD.",
            "address_2": "SUITE 1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEHARA EYE SURGERY & LASER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MAEHARA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ISSEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-3937",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-2131",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-11924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis I. Maehara, MD.,Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.