Grant Y. Fusato, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD516 Issued in HI

Practice address

4510 Salt Lake Blvd
B-11
Honolulu, HI 96818-3153

Phone

(808) 486-9393

Fax

(808) 486-9391

NPI assigned

Dec 28, 2005

Last updated

Dec 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant Y. Fusato, OD

  • Optometrist
  • Honolulu, HI
  • NPI 1235645615
  Authorized official Same address or phone

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1821075094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "address_2": "B-11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183153",
            "telephone_number": "808-486-9393",
            "fax_number": "808-486-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "address_2": "B-11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183153",
            "telephone_number": "808-486-9393",
            "fax_number": "808-486-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSATO",
        "first_name": "GRANT",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "990348300",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A21764-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eiichi Furuta, M.D.
• Sho Furuta, M.D.
• Kelli Furuya, NP
• Neil Bryant Furuya, D.D.S.
• Sachiko Furuya
• Fuse Mental Health
• James Alton Fuselier, RPH
• Stephen Barry Futh, PA
• Ken Peter Fuyuki, DC, ATC
• Jane Stephens Fyrberg, M.D.

• 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 Dec 19, 2017; 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.