Individual provider Active NPI

Brianne Kusaka, OD

  • Optometrist
  • Waipahu, HI
National Provider Identifier
1821849407
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-1036 Issued in HI
Practice address
94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone
(503) 352-2020
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OD-1036 HI Primary

Addresses

Primary practice location

94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495

Mailing address

94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495

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
I20240805001959 HI Practitioner - Optometry 8729525027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Kubo and Sato, Optometrists, Inc.Group PAC ID 8022909720, 5 clinicians

Practice addresses (Care Compare)

94 -1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone (808) 678-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kubo and Sato Optometrists Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

333 Keahole St
Bldg A
Honolulu, HI 96825
Phone (808) 394-3318

94-1231 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 678-1987

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1821849407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1231 KA UKA BLVD",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1231 KA UKA BLVD",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974495",
            "telephone_number": "503-352-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSAKA",
        "first_name": "BRIANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.