Active NPI
Stanley Koichi Sato, O.D.
- Optometrist
- Waipahu, HI
National Provider Identifier
1730285362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD-274
- Practice address
- 94-595 Kupuohi Street
Waipahu, HI 96797 - Phone
- (808) 688-0841
- Fax
- (808) 688-0839
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OD-274 | HI | Primary |
Addresses
Primary practice location
94-595 Kupuohi Street
Waipahu, HI 96797
Mailing address
1548 Glen Avenue
Wahiawa, HI 96786
Phone (808) 621-6823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A20160-6 | Other | HI | HMSA |
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 -595 Kupuohi St
Waipahu, HI 96797-5382
Phone (808) 688-0841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD-274 | HI | MD | Optometrist |
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
- Waipahu, HI
- NPI 1922302363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1730285362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 GLEN AVENUE",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "96786",
"telephone_number": "808-621-6823",
"fax_number": "808-688-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-595 KUPUOHI STREET",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "96797",
"telephone_number": "808-688-0841",
"fax_number": "808-688-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "STANLEY",
"middle_name": "KOICHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "OD-274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A20160-6",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.