Kimberly M Shiraishi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

762 Issued in HI

Practice address

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437

Phone

(808) 955-0255

Fax

(808) 955-4155

NPI assigned

Sep 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Shiraishi Other name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Southern California College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cynthia Kiernan OD IncGroup PAC ID 8729113998, 2 clinicians

Shannon R. Chandler, CorpGroup PAC ID 8628174364, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cynthia Kiernan OD, Inc

  • Optometrist
  • Las Vegas, NV
  • NPI 1659497923
  Medicare reassignment Care Compare group NPD
• Shannon R. Chandler, Corp

  • Optometrist
  • Las Vegas, NV
  • NPI 1194890673
  Medicare reassignment Care Compare group NPD
• Chin Hee Choi Incorporated

  • Optometrist
  • Pahrump, NV
  • NPI 1881879468
  Medicare reassignment NPD
• Gammoh Premier Vision LLC

  dba Vision Veinte Veinte

  • Optometrist
  • Las Vegas, NV
  • NPI 1528304458
  Medicare reassignment NPD
• Romy Park OD Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1841402385
  Medicare reassignment NPD
• Eyedocs Care LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1619493178
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1730439357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAILCODE 61072",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAISHI",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SHIRAISHI",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandon K Shirai, M.D.
• Chyong-Ying Whang Shirai, DDS
• Katelyn Emiko Shirai
• Lance K. Shirai, MD
• Alvin Shiraishi, LMT
• Mari Shiraishi, M.D.
• Patti Hatsumi Shirakawa, PH.D.
• Carolyn K Shiraki, MD
• Douglas S. Shiraki, D.D.S.
• Melanie Shiraki

• Optometrist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.

Verify at the official NPI Registry.