Individual provider Active NPI

Tara Tagami, OD

  • Pediatric Optometrist
  • Honolulu, HI
National Provider Identifier
1699459982
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OD-1026 Issued in HI
Practice address
1319 Punahou St Ste 1030
Honolulu, HI 96826-1077
Phone
(808) 942-5570
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Optometrist 152WP0200X OD-1026 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 1030
Honolulu, HI 96826-1077

Mailing address

1319 Punahou St Ste 1030
Honolulu, HI 96826-1077

Other practice location 1

33 W 42nd St
New York, NY 10036-8005
Phone (212) 938-4000

Other practice location 2

1049 Kakala St Apt 102
Kapolei, HI 96707-4623
Phone (808) 674-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230822002092 NY Practitioner - Optometry 7618339797 Reassigns benefits to 1 organization
I20240724002084 HI Practitioner - Optometry 7618339797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-1026HIMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jul 1, 2023 Accepting new patients
State of New York Comptrollers Office Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
Pediatric Ophthalmology Associates of Hawaii Inc CurrentSince May 1, 2025 Accepting new patients

Locations

1319 Punahou St
Ste 1030
Honolulu, HI 96826
Phone (808) 942-5570

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

Organizations & group practices 3

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1699459982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-942-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100368005",
            "country_code": "US",
            "telephone_number": "212-938-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1049 Kakala St Apt 102",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967074623",
            "country_code": "US",
            "telephone_number": "808-674-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGAMI",
        "first_name": "TARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "HI",
            "license": "OD-1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.