Keith Tsugio Kawamura, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD535 Issued in HI

Practice address

1003 Pensacola St
Honolulu, HI 96814-1927

Phone

(808) 597-1133

Fax

(808) 596-0251

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kawamura Eye Care, LLC

  • Optometrist
  • Wahiawa, HI
  • NPI 1851780621
  Medicare reassignment Authorized official
• Minatoya Eye Clinic Inc

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1457362337
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1790792760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE",
            "address_2": "STE 102",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-597-1133",
            "fax_number": "808-596-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 PENSACOLA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141927",
            "telephone_number": "808-597-1133",
            "fax_number": "808-596-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "KEITH",
        "middle_name": "TSUGIO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH ALLIANCE",
            "identifier": "949616420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "245480",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Takeo Kawamoto, M.D.
• Shelliann Aiko Kawamoto, D.D.S.
• Brooke Kimi Anuhea Kawamura, MD
• Chelsie H Kawamura, RD
• Judith Kawamura
• Misao Kawamura, MD
• Shayna Makiko Wen Feng Kawamura
• Elizabeth Kawana, RN
• Ciara M Kawano, MS, LMHC
• Esther M Kawano, MD

• 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 Mar 14, 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.

Verify at the official NPI Registry.