Organization Active NPI

Brian M Teruya OD Inc

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1831820984
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRIAN M TERUYA OD INC
Practice address
3221 Waialae Ave Ste 340
Honolulu, HI 96816-5831
Phone
(808) 734-4343
Fax
(808) 734-3930
NPI assigned
Jun 20, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Brian Teruya, ODNPI 1639280696
Title
Owner / Member
Phone
(808) 734-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3221 Waialae Ave Ste 340
Honolulu, HI 96816-5831

Mailing address

PO Box 29960
Honolulu, HI 96820-2360
Phone (808) 734-4343

Other identifiers 1

IdentifierTypeStateIssuer
152W00000XOtherOPTOMETRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031002313 HI Part B Supplier - Clinic/Group Practice 1951778125 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

3221 Waialae Ave
Ste 340
Honolulu, HI 96816
Phone (808) 734-4343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1831820984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29960",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202360",
            "telephone_number": "808-734-4343",
            "fax_number": "808-734-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 340",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165831",
            "telephone_number": "808-734-4343",
            "fax_number": "808-734-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M TERUYA OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "TERUYA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "808-734-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "152W00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.