NPIMap

Organization Active NPI

Windward Vision Center Associates, Inc.

  • Optometrist
  • Kaneohe, HI
National Provider Identifier
1720101611
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
357 Issued in HI
Legal business name
WINDWARD VISION CENTER ASSOCIATES, INC.
Practice address
46-056 Kamehameha Hwy
SPC K05
Kaneohe, HI 96744-3768
Phone
(808) 235-6641
Fax
(808) 247-3880
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Stuart Machida, ODNPI 1295809101
Title
Second in Command
Phone
(808) 262-8107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 357 HI Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 184 HI
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 556 HI

Addresses

Primary practice location

46-056 Kamehameha Hwy
SPC K05
Kaneohe, HI 96744-3768

Mailing address

46-056 Kamehameha Hwy
SPC K05
Kaneohe, HI 96744-3768
Phone (808) 235-6641

Other identifiers 5

IdentifierTypeStateIssuer
00B0022521OtherHIHMSA
00962401MedicaidHI
547309MedicaidHI
01360601MedicaidHI
0000022525OtherHIHMSA

Other names 1

  • Windward Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090727000688 HI Part B Supplier - Clinic/Group Practice 1052329935 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Kailua, HI; Kaneohe, HI
O20100930072364 HI DME Supplier - Physician - Optometrist 1052329935 Practice locations: Kaneohe, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Windward Vision Center Associates46-056 Kamehameha Hwy, Kaneohe, HI 96744-6707(808) 235-6641 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 1, 2006

National Provider Directory

National Provider Directory

Locations

30 Aulike St
Ste 102
Kailua, HI 96734
Phone (808) 262-8107

46-056 Kamehameha Hwy
Spc K5
Kaneohe, HI 96744
Phone (808) 235-6641

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1720101611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SPC K05",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443768",
            "telephone_number": "808-235-6641",
            "fax_number": "808-247-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "SPC K05",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443768",
            "telephone_number": "808-235-6641",
            "fax_number": "808-247-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD VISION CENTER ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MACHIDA",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "SECOND IN COMMAND",
        "authorized_official_telephone_number": "808-262-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "357",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "184",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00B0022521",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00962401",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547309",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01360601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000022525",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windward Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.