Individual provider Active NPI

Nelson O Yoshioka Jr., OD

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1487780169
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD219 Issued in HI
Practice address
1123 11TH Ave
#203
Honolulu, HI 96816-2433
Phone
(808) 734-7050
Fax
(808) 734-8897
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD219 HI Primary

Addresses

Primary practice location

1123 11TH Ave
#203
Honolulu, HI 96816-2433

Mailing address

1123 11TH Ave
#203
Honolulu, HI 96816-2433
Phone (808) 734-7050

Other identifiers 2

IdentifierTypeStateIssuer
J215OtherHIHMSA - PEARL CITY
C21513OtherHIHMSA - KAIMUKI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000891 HI Practitioner - Optometry 0648160812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson O. Yoshioka, Jr., O.D., Inc.Group PAC ID 9638069891, 3 clinicians

Practice addresses (Care Compare)

1123 11TH Ave
Suite 203
Honolulu, HI 96816-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson O. Yoshioka, Jr., O.D., Inc. Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Nelson O Yoshioka Jr OD Inc Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

1123 11th Ave
Ste 203
Honolulu, HI 96816
Phone (808) 734-7050

850 Kamehameha Hwy
Ste 114
Pearl City, HI 96782
Phone (808) 455-3333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1487780169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 11TH AVE",
            "address_2": "#203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162433",
            "telephone_number": "808-734-7050",
            "fax_number": "808-734-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 11TH AVE",
            "address_2": "#203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162433",
            "telephone_number": "808-734-7050",
            "fax_number": "808-734-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIOKA",
        "first_name": "NELSON",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - PEARL CITY",
            "identifier": "J215",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - KAIMUKI",
            "identifier": "C21513",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.