Individual provider Active NPI

Anne K Matsushima, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1396731717
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
162 Issued in HI
Practice address
3615 Harding Ave
Suite 208
Honolulu, HI 96816-3760
Phone
(808) 734-8870
Fax
(808) 737-2307
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 162 HI Primary

Addresses

Primary practice location

3615 Harding Ave
Suite 208
Honolulu, HI 96816-3760

Mailing address

3615 Harding Ave
Suite 208
Honolulu, HI 96816-3760
Phone (808) 734-8870

Other identifiers 1

IdentifierTypeStateIssuer
A0276-4OtherHIHMSA

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
I20110426000272 HI Practitioner - Optometry 6406966852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1396731717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163760",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163760",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUSHIMA",
        "first_name": "ANNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A0276-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.