Organization Active NPI

Daniel M Yamamoto OD Inc

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1477847358
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD260 Issued in HI
Legal business name
DANIEL M YAMAMOTO OD INC
Practice address
1441 Kapiolani Blvd Ste 1110
Honolulu, HI 96814-4406
Phone
(808) 949-2662
Fax
(808) 947-0120
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Dr. Daniel YamamotoNPI 1275519811
Title
President
Phone
(808) 949-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD260 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1110
Honolulu, HI 96814-4406

Mailing address

1441 Kapiolani Blvd Ste 1110
Honolulu, HI 96814-4406
Phone (808) 949-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000830 HI Part B Supplier - Clinic/Group Practice 8729250600 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1477847358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "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 STE 1110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "telephone_number": "808-949-2662",
            "fax_number": "808-947-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M YAMAMOTO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-949-2662",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD260",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.