Individual provider Active NPI

Colby Yamamoto, OD

  • Optometrist
  • Pearl City, HI
National Provider Identifier
1508427493
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-916 Issued in HI
Practice address
1000 Kamehameha Hwy
Ste 100
Pearl City, HI 96782-2596
Phone
(808) 456-3937
NPI assigned
Jun 22, 2019
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-916 HI Primary

Addresses

Primary practice location

1000 Kamehameha Hwy
Ste 100
Pearl City, HI 96782-2596

Mailing address

405 N Kuakini St
Ste 605
Honolulu, HI 96817-6302
Phone (808) 456-3937

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
I20190808003885 HI Practitioner - Optometry 1557698859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robb T. Shibayama, O.D., Inc.Group PAC ID 6002707643, 4 clinicians

Practice addresses (Care Compare)

750 Keeaumoku St
Honolulu, HI 96814-3014
Phone (808) 945-9857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wendi N Harada OD Inc Optometrist Current Accepting new patients
Eugene W M NG MD LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients
Wendi N. Harada, O.D., Inc. Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Robb T. Shibayama, O.D., Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Robb T. Shibayama, O.D., Inc. Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Wendi N Harada OD Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

2228 Liliha St
Ste 102A
Honolulu, HI 96817
Phone (808) 533-7400

405 N Kuakini St
Ste 605
Honolulu, HI 96817
Phone (808) 456-3937

750 Keeaumoku St
Honolulu, HI 96814
Phone (808) 941-6719

91-600 Farrington Hwy
Unit 3
Kapolei, HI 96707
Phone (808) 674-4488

1000 Kamehameha Hwy
Ste 100
Pearl City, HI 96782
Phone (808) 454-0182

94-871 Farrington Hwy
Waipahu, HI 96797
Phone (808) 677-7400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1508427493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "STE 605",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-456-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "address_2": "STE 100",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822596",
            "telephone_number": "808-456-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "COLBY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.