NPIMap

Organization Active NPI

Wendi N Harada OD Inc

  • Optometrist
  • Kapolei, HI
National Provider Identifier
1831449958
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD600 Issued in HI
Legal business name
WENDI N HARADA OD INC
Practice address
91-600 Farrington Hwy Unit 3
Kapolei, HI 96707-4509
Phone
(808) 674-4488
Fax
(808) 674-2409
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Wendi N Harada, O.D.
Title
President/Owner
Phone
(808) 674-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD600 HI Primary

Addresses

Primary practice location

91-600 Farrington Hwy Unit 3
Kapolei, HI 96707-4509

Mailing address

91-600 Farrington Hwy Unit 3
Kapolei, HI 96707-4509
Phone (808) 674-4488

Other identifiers 1

IdentifierTypeStateIssuer
GN974AOtherHIMEDICARE PTAN

Other names 1

  • Hawaii Vision Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000296 HI Part B Supplier - Clinic/Group Practice 3476694100 Receives reassigned benefits from 10 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI; Kapolei, HI; Aiea, HI; Kaneohe, HI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hawaii Vision Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 N Kuakini St
Ste 605
Honolulu, HI 96817
Phone (808) 456-3937

91-600 Farrington Hwy
#3
Kapolei, HI 96707

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1831449958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-600 FARRINGTON HWY UNIT 3",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074509",
            "telephone_number": "808-674-4488",
            "fax_number": "808-674-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-600 FARRINGTON HWY UNIT 3",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074509",
            "telephone_number": "808-674-4488",
            "fax_number": "808-674-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDI N HARADA OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-674-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GN974A",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.