Individual provider Active NPI

Paula Harumi Imada, O.D., M.ED.

  • Optometrist
  • Pearl City, HI
National Provider Identifier
1669768552
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD754 Issued in HI
Practice address
1000 Kamehameha Hwy
Pearl City, HI 96782-2881
Phone
(808) 454-0422
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD754 HI Primary

Addresses

Primary practice location

1000 Kamehameha Hwy
Pearl City, HI 96782-2881

Mailing address

1000 Kamehameha Hwy
Ste 100
Pearl City, HI 96782-2596
Phone (808) 292-3193

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
I20121003000672 HI Practitioner - Optometry 3870742075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2012
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
Wendi N Harada OD IncGroup PAC ID 3476694100, 3 clinicians

Practice addresses (Care Compare)

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

91-600 Farrington Hwy
Unit 3
Kapolei, HI 96707-4509
Phone (808) 674-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OD754HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvin Alonzo OD, Inc Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Calvin Alonzo, O.D., Inc Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Robb T. Shibayama, O.D., Inc. Optometrist CurrentSince Sep 1, 2012 Accepting new patients
Robb T. Shibayama, O.D., Inc Optometrist CurrentSince Sep 1, 2012 Accepting new patients
Wendi N. Harada, O.D., Inc. Optometrist Past Accepting new patients
Robb T. Shibayama, O.D., Inc Optometrist Past Accepting new patients

Locations

98-180 Kamehameha Hwy
Aiea, HI 96701
Phone (808) 487-0789

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

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

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

94-428 Mokuola St
Ste 102
Waipahu, HI 96797
Phone (808) 371-0577

Organizations & group practices 7

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1669768552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "address_2": "STE 100",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822596",
            "telephone_number": "808-292-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822881",
            "telephone_number": "808-454-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMADA",
        "first_name": "PAULA",
        "middle_name": "HARUMI",
        "name_prefix": "Dr.",
        "credential": "O.D., M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.