Individual provider Active NPI

David K. Fujimoto, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1790770113
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
293 Issued in HI
Practice address
1441 Kapiolani Blvd
Suite 419
Honolulu, HI 96814-4401
Phone
(808) 949-2902
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 293 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd
Suite 419
Honolulu, HI 96814-4401

Mailing address

1441 Kapiolani Blvd
Suite 419
Honolulu, HI 96814-4401
Phone (808) 949-2902

Other identifiers 1

IdentifierTypeStateIssuer
068287MedicaidHI

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
I20040622001519 HI Practitioner - Optometry 4082699178 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 419
Honolulu, HI 96814-4481
Phone (808) 949-2902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293HIMDOptometrist
0293HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Surgery Center, Inc. PastSince Jul 15, 2002 Accepting new patients
Eugene W M NG MD LLC Optometrist PastSince Jun 1, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1790770113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-949-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-949-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "DAVID",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068287",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.