Tracie M Inouchi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD571 Issued in HI

Practice address

1441 Kapiolani Blvd
Honolulu, HI 96814-4406

Phone

(808) 949-2662

Fax

(808) 947-0120

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simply Eyes Hawaii LLCGroup PAC ID 2769916022, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Simply Eyes Hawaii LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1467284935
  Medicare reassignment Care Compare group NPD
• Daniel M Yamamoto OD Inc

  • Optometrist
  • Honolulu, HI
  • NPI 1477847358
  Medicare reassignment NPD
• Milton Ackerman, M.D., Inc.

  • Procedural Dermatology Physician
  • Honolulu, HI
  • NPI 1396968160
  NPD
• Daniel M. Yamamoto, O.D.

  • Optometrist
  • Honolulu, HI
  • NPI 1770623373
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1457337909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "#1110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-949-2662",
            "fax_number": "808-947-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "telephone_number": "808-949-2662",
            "fax_number": "808-947-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOUCHI",
        "first_name": "TRACIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI NUMBER",
            "identifier": "1477847358",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCOUNT NUMBER (PTAN)",
            "identifier": "H55261",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51809501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mykayla Jean Innerst, BEHAVIOR TECHNICIAN
• Innervate LLC
• Innova Recovery, PLLC (Innova Recovery Center)
• Takuro Ino
• Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN
• Greg Inoue, RPH
• Hideru Inoue, CRNA
• Kourtney K. Inoue, RD
• Shane Inoue, M.D.
• Trisha Kimi Barretto Inoue

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.