Patricia K Ichimura, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

295 Issued in HI

Practice address

95-720 Lanikuhana Ave
Suite 200
Mililani, HI 96789-2985

Phone

(808) 625-7451

Fax

(808) 625-5574

NPI assigned

Feb 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Patricia K Ichimura Professional name

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

Pacific University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1821064254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 200",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-7451",
            "fax_number": "808-625-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 200",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-7451",
            "fax_number": "808-625-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIMURA",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ICHIMURA",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hannah Hunsucker, RBT
• Maria Lea Lyn Hunt
• Brittany Hunter
• Jesi Lea Hunter
• Hyun Jung Hwang
• Janelle Misty Ige
• Krystle Imamura, PHARMD
• Arcelita C Imasa, MD
• Timothy Inoue, D.D.S.
• Integrated Healing LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.