Roy Yasuo Matsumoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD222 Issued in HI

Practice address

94-1030 Waipio Uka St
Suite 102
Waipahu, HI 96797-4084

Phone

(808) 671-6731

Fax

(808) 676-5655

NPI assigned

Sep 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roy Y Matsumoto O D IncGroup PAC ID 2567352669, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roy Y Matsumoto O D Inc

  • Optometrist
  • Waipahu, HI
  • NPI 1154442697
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437250826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1030 WAIPIO UKA ST",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974084",
            "telephone_number": "808-671-6731",
            "fax_number": "808-676-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1030 WAIPIO UKA ST",
            "address_2": "SUITE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974084",
            "telephone_number": "808-671-6731",
            "fax_number": "808-676-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "ROY",
        "middle_name": "YASUO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala Ka Hei C Masing
• Hannah Mason, RBT
• Karen Mae Mateo
• Janelle N Matsukawa, PHARMD
• Brent H. Matsumoto, MD
• Kiersten Leeanna Matthews, RBT
• Carolyn W. Mau, CNS
• Jacob Mauga
• Allison Mawae
• Sara Maya

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.