Valerie Sachiko Kitamori, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-830 Issued in HI

Practice address

73-5600 Maiau St
Kailua Kona, HI 96740-2630

Phone

(808) 331-8081

Fax

(808) 331-8082

NPI assigned

Oct 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Wally Kojima OD LLCGroup PAC ID 1850618109, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wally Kojima OD LLC

  • Optometrist
  • Kailua Kona, HI
  • NPI 1255720223
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1548512874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15645 AVENIDA ALCACHOFA APT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284442",
            "telephone_number": "808-896-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-5600 MAIAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402630",
            "telephone_number": "808-331-8081",
            "fax_number": "808-331-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 N Assembly St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056185",
            "country_code": "US",
            "telephone_number": "509-434-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11134 Rancho Carmel Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921284671",
            "country_code": "US",
            "telephone_number": "858-673-1084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITAMORI",
        "first_name": "VALERIE",
        "middle_name": "SACHIKO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33362",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60574434",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OD-830",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin McHugh Optical LLC
• Chandi-Nichole K Kiefer, DNP
• King Neuropsychological Services
• Mahie King, LMT
• Kirsten Westra Ms, LMHC, LLC
• Elyssa Marie Klokkhammer, CNM
• Trenton E Knewtson, DO
• Katherine Knezek May, PSYCHD
• Amy Emily Knights
• Susan Marie Knutowicz, LMT

• Optometrist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.