Organization Active NPI

Anne K. Matsushima, O.D., Inc.

  • Eyewear Supplier
  • Honolulu, HI
National Provider Identifier
1487851150
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
162 Issued in HI
Legal business name
ANNE K. MATSUSHIMA, O.D., INC.
Practice address
3615 Harding Ave Ste 208
Honolulu, HI 96816-3760
Phone
(808) 734-8870
Fax
(808) 737-2307
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Anne K Matsushima, O.D.
Title
President
Phone
(808) 734-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 162 HI Primary

Addresses

Primary practice location

3615 Harding Ave Ste 208
Honolulu, HI 96816-3760

Mailing address

3615 Harding Ave Ste 208
Honolulu, HI 96816-3760
Phone (808) 734-8870

Other identifiers 1

IdentifierTypeStateIssuer
0400380001OtherHIMEDICARE DME

National Provider Directory

National Provider Directory

Locations

3615 Harding Ave
Ste 208
Honolulu, HI 96816
Phone (808) 734-8870

Practitioners & affiliated clinicians

Practitioners 1

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1487851150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163760",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163760",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE K. MATSUSHIMA, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "MATSUSHIMA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-734-8870",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "HI",
            "license": "162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0400380001",
            "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 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.