Individual provider Active NPI

Jeffrey Masaru Sakai, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1558417220
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
473 Issued in HI
Practice address
2024 N King St
Suite 105
Honolulu, HI 96819-3470
Phone
(808) 845-4521
Fax
(808) 848-0528
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 473 HI Primary

Addresses

Primary practice location

2024 N King St
Suite 105
Honolulu, HI 96819-3470

Mailing address

2024 N King St
Suite 105
Honolulu, HI 96819-3470
Phone (808) 845-4521

Other identifiers 1

IdentifierTypeStateIssuer
00257101MedicaidHI

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
I20060113000044 HI Practitioner - Optometry 3678596897 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2024 N King St
Suite 105
Honolulu, HI 96819-3470
Phone (808) 845-4521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris K. Yamamoto OD Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1558417220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST",
            "address_2": "SUITE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-845-4521",
            "fax_number": "808-848-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N KING ST",
            "address_2": "SUITE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-845-4521",
            "fax_number": "808-848-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAI",
        "first_name": "JEFFREY",
        "middle_name": "MASARU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.