Individual provider Active NPI

Jordan Schmerbauch, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1679195002
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-937 Issued in HI
Practice address
1100 Ward Ave Ste 1000
Honolulu, HI 96814-1620
Phone
(808) 792-3937
Fax
(808) 599-4818
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-937 HI Primary

Addresses

Primary practice location

1100 Ward Ave Ste 1000
Honolulu, HI 96814-1620

Mailing address

1100 Ward Ave Ste 1000
Honolulu, HI 96814-1620

Other practice location 1

94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone (808) 678-1987

Other practice location 2

610 Kilani Ave
Wahiawa, HI 96786-1904
Phone (808) 622-2020

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
I20200723002189 HI Practitioner - Optometry 3072937085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Laser Vision LLCGroup PAC ID 2466343843, 5 clinicians

Practice addresses (Care Compare)

1100 Ward Ave
Suite 1000
Honolulu, HI 96814-1620
Phone (808) 521-2305

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
98.42
Improvement activities
40
Cost
44.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs Hilo LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Aloha Laser Vision LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
DRS Kubo and Sato Optometrists Inc Optometrist CurrentSince Nov 5, 2020 Accepting new patients
James H Sakamoto OD Inc Optometrist PastSince Sep 6, 2020 Accepting new patients
Cec Eye Center LLC Optometrist PastSince Jan 1, 2023 Accepting new patients

Locations

34 W Kawailani St
Hilo, HI 96720
Phone (808) 735-1935

1100 Ward Ave
Ste 1000
Honolulu, HI 96814
Phone (808) 521-2305

333 Keahole St
Bldg A
Honolulu, HI 96825
Phone (808) 394-3318

94-1231 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 678-1987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1679195002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141620",
            "telephone_number": "808-792-3937",
            "fax_number": "808-599-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1231 Ka Uka Blvd",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967974495",
            "country_code": "US",
            "telephone_number": "808-678-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Kilani Ave",
            "address_purpose": "LOCATION",
            "city": "Wahiawa",
            "state": "HI",
            "postal_code": "967861904",
            "country_code": "US",
            "telephone_number": "808-622-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMERBAUCH",
        "first_name": "JORDAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.