Individual provider Active NPI

Douglas T Shiro, OD

  • Optometrist
  • Hilo, HI
National Provider Identifier
1699791533
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152 Issued in HI
Practice address
31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362
Phone
(808) 961-0635
Fax
(808) 961-0636
NPI assigned
Jul 14, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 152 HI Primary

Addresses

Primary practice location

31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362

Mailing address

31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362
Phone (808) 961-0635

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
I20051010000368 HI Practitioner - Optometry 1355366378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 E Lanikaula St D
Hilo, HI 96720-4362
Phone (808) 961-0635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas T. Shiro, O.D., Inc. Optometrist CurrentSince May 18, 1981 Accepting new patients

Locations

31 E Lanikaula St
Ste D
Hilo, HI 96720
Phone (808) 961-0635

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1699791533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 EAST LANIKAULA STREET",
            "address_2": "SUITE D",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-961-0635",
            "fax_number": "808-961-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EAST LANIKAULA STREET",
            "address_2": "SUITE D",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-961-0635",
            "fax_number": "808-961-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRO",
        "first_name": "DOUGLAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.