Individual provider Active NPI

Stacey Michie Morinaga, O.D.

  • Optometrist
  • Lihue, HI
National Provider Identifier
1811025802
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
658 Issued in HI
Practice address
4439 Pahee St
Lihue, HI 96766-2032
Phone
(808) 246-0051
Fax
(808) 246-4816
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 658 HI Primary

Addresses

Primary practice location

4439 Pahee St
Lihue, HI 96766-2032

Mailing address

4181 Kaana St
Lihue, HI 96766-1264
Phone (808) 779-5222

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
I20110510000805 HI Practitioner - Optometry 2264618180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Kauai IncGroup PAC ID 0345425153, 5 clinicians

Practice addresses (Care Compare)

4439 Pahee St
Lihue, HI 96766-2032
Phone (808) 246-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
658HIMDBehavioral Analyst

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1811025802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 KAANA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661264",
            "telephone_number": "808-779-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 PAHEE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662032",
            "telephone_number": "808-246-0051",
            "fax_number": "808-246-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORINAGA",
        "first_name": "STACEY",
        "middle_name": "MICHIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.