Active NPI
David T. Waters, MD
- Ophthalmology Physician
- Honolulu, HI
National Provider Identifier
1447342829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-4986
- Practice address
- 1010 Pensacola St
Honolulu, HI 96814-2118 - Phone
- (808) 432-2000
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-4986 | HI | Primary |
Addresses
Primary practice location
1010 Pensacola St
Honolulu, HI 96814-2118
Mailing address
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016103-01 | Medicaid | HI | |
| 0000017277 | Other | HI | HMSA BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-4986 | HI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1447342829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PENSACOLA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142118",
"telephone_number": "808-432-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PENSACOLA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142118",
"telephone_number": "808-432-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "DAVID",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "HI",
"license": "MD-4986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016103-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000017277",
"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 Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.