Colin Goro Imaoka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

964 Issued in HI

Practice address

98-1005 Moanalua Rd SPC 202
Aiea, HI 96701-4773

Phone

(808) 488-1700

NPI assigned

Aug 19, 2016

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1649725698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1031 KELAKELA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895991",
            "telephone_number": "808-554-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 202",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014773",
            "telephone_number": "808-488-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19001 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275036",
            "country_code": "US",
            "telephone_number": "623-293-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAOKA",
        "first_name": "COLIN",
        "middle_name": "GORO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "964",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ignacio
• Malissa Hyun Kyung Iida-Takashima, MD
• Chaylen K.K. Ilac, LMT
• Sharmaine Ilarina
• Lauren J.M. Imai, D.D.S., M.S.
• Samantha Impens
• Imua Health Group, LLC
• Imua Heart
• Tracy Largado Ingram
• Jill M.Y.N.W. Inouye, M.D.

• Optometrist in Aiea, HI
• Providers in Aiea, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.