Active NPI
Theodore Marshall Miller, OD
- Optometrist
- Kapa'au, HI
National Provider Identifier
1487613543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 218
- Practice address
- 54 3886 Akoni Pule Hwy
Suite #5
Kapaau, HI 96755-0053 - Phone
- (808) 889-0044
- Fax
- (808) 884-5134
- NPI assigned
- Mar 18, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 218 | HI | Primary |
Addresses
Primary practice location
54 3886 Akoni Pule Hwy
Suite #5
Kapaau, HI 96755-0053
Mailing address
PO Box 53
Kapaau, HI 96755-0053
Phone (808) 889-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C28013 | Other | HI | HMSA HEALTH INSURANCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487613543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967550053",
"telephone_number": "808-889-0044",
"fax_number": "808-884-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 3886 AKONI PULE HWY",
"address_2": "SUITE #5",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967550053",
"telephone_number": "808-889-0044",
"fax_number": "808-884-5134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "THEODORE",
"middle_name": "MARSHALL",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA HEALTH INSURANCE",
"identifier": "C28013",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapa'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.