Active NPI
Todd Kyle Nakagawa, O.D.
- Optometrist
- Kapolei, HI
National Provider Identifier
1679598619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 572
- Practice address
- 1001 Kamokila Blvd
#108
Kapolei, HI 96707-2014 - Phone
- (808) 674-0085
- Fax
- (808) 674-8785
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 572 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd
#108
Kapolei, HI 96707-2014
Mailing address
1001 Kamokila Blvd
Suite 108
Kapolei, HI 96707-2014
Phone (808) 674-0085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532219-01 | Medicaid | HI | |
| CF799A | Other | HI | MEDICARE PIN GROUP NUMBER 1700011996 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Kapolei, HI 96707
Phone (808) 674-0085
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care Associates-Kapolei, LLC. | Optometrist | Current | Accepting new patients |
Locations
1001 Kamokila Blvd
Ste 108
Kapolei, HI 96707
Phone (808) 674-0085
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.
-
- Optometrist
- Kapolei, HI
- NPI 1700011996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1679598619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD",
"address_2": "SUITE 108",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-674-0085",
"fax_number": "808-674-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD",
"address_2": "#108",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-674-0085",
"fax_number": "808-674-8785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAGAWA",
"first_name": "TODD",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "532219-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN GROUP NUMBER 1700011996",
"identifier": "CF799A",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.