Individual provider Active NPI

Jana Miki'Ala Souza, O.D.

  • Optometrist
  • Hilo, HI
National Provider Identifier
1598913121
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD750 Issued in HI
Practice address
76 Kalanianaole Ave
Hilo, HI 96720-4744
Phone
(808) 333-3233
Fax
(808) 315-7663
NPI assigned
Sep 8, 2008
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD750 HI Primary

Addresses

Primary practice location

76 Kalanianaole Ave
Hilo, HI 96720-4744

Mailing address

76 Kalanianaole Ave
Hilo, HI 96720-4744
Phone (808) 333-3233

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
I20120214000095 HI Practitioner - Optometry 2961683305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Vision Specialists LLP Optometrist CurrentSince Mar 1, 2012 Accepting new patients
Eye Center of Hawaii LLC Optometrist Past Accepting new patients
Matthew T. Fostier, O.D., P.a. Optometrist Past Accepting new patients
Optical Boutique Inc. Past Accepting new patients
Hawaii Vision Surgical Suites LLC Past Accepting new patients

Locations

126 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-0255

392 Kapiolani St
Hilo, HI 96720
Phone (803) 935-0255

76 Kalanianaole St
Hilo, HI 96720

101 Pakaula St
Kahului, HI 96732
Phone (808) 871-7012

Interoperability endpoints

  • Direct secure messaging: jmsouza@hawaiivision.direct.eyemdemr.com

Organizations & group practices 5

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1598913121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 KALANIANAOLE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204744",
            "telephone_number": "808-333-3233",
            "fax_number": "808-315-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 KALANIANAOLE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204744",
            "telephone_number": "808-333-3233",
            "fax_number": "808-315-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "JANA",
        "middle_name": "MIKI'ALA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.