Active NPI
Edwin Shinji Kajiwara, OD
- Optometrist
- Honolulu, HI
National Provider Identifier
1447215082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 174
- Practice address
- 1520 Liliha St
Ste 401
Honolulu, HI 96817-3562 - Phone
- (808) 531-6331
- Fax
- (808) 531-6331
- NPI assigned
- Apr 18, 2006
- Last updated
- Feb 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 174 | HI | Primary |
Addresses
Primary practice location
1520 Liliha St
Ste 401
Honolulu, HI 96817-3562
Mailing address
1520 Liliha St
Ste 401
Honolulu, HI 96817-3562
Phone (808) 531-6331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12690 | Other | HI | HMSA |
| 01208801 | Medicaid | HI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060106000330 | HI | Practitioner - Optometry | 9537182472 | Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174 | HI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1447215082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 LILIHA ST",
"address_2": "STE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173562",
"telephone_number": "808-531-6331",
"fax_number": "808-531-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 LILIHA ST",
"address_2": "STE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173562",
"telephone_number": "808-531-6331",
"fax_number": "808-531-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAJIWARA",
"first_name": "EDWIN",
"middle_name": "SHINJI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "12690",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01208801",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.