Active NPI
Jennifer Maeda, O.D.
- Optometrist
- Hilo, HI
National Provider Identifier
1699853150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 576
- Practice address
- 1234 Kilauea Ave
Hilo, HI 96720-4206 - Phone
- (808) 935-5228
- Fax
- (808) 969-9117
- NPI assigned
- Nov 1, 2006
- Last updated
- May 21, 2018
- Sex
- Female
- 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 | 576 | HI | Primary |
Addresses
Primary practice location
1234 Kilauea Ave
Hilo, HI 96720-4206
Mailing address
1234 Kilauea Ave
Hilo, HI 96720-4282
Phone (808) 935-5228
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253237 | Other | HI | HMSA PROVIDER NUMBER |
| 574170-01 | Medicaid | HI | |
| 7786656 | Other | HI | UHA MEDICAL |
| 778665620 | Other | HI | UHA VISION |
| H100356 | Other | HI | HAWAII MEDICARE |
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)
1234 Kilauea Ave
Hilo, HI 96720-4282
Phone (808) 935-5228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 576 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Y Maeda OD a Professional Corporation | Optometrist | Current | Accepting new patients |
Locations
1234 Kilauea Ave
Hilo, HI 96720
Phone (808) 935-5228
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.
-
- Optometrist
- Hilo, HI
- NPI 1720206667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1699853150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967204282",
"telephone_number": "808-935-5228",
"fax_number": "808-969-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 KILAUEA AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967204206",
"telephone_number": "808-935-5228",
"fax_number": "808-969-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEDA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "253237",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574170-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA MEDICAL",
"identifier": "7786656",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA VISION",
"identifier": "778665620",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICARE",
"identifier": "H100356",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.