Individual provider Active NPI

Cedric Mitsui, OD

  • Optometrist
  • Hilo, HI
National Provider Identifier
1871596296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD320 Issued in HI
Practice address
899-A Ululani Street
Hilo, HI 96720
Phone
(808) 935-3937
Fax
(808) 935-3882
NPI assigned
May 31, 2005
Reactivated
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD320 HI Primary

Addresses

Primary practice location

899-A Ululani Street
Hilo, HI 96720

Mailing address

899-A Ululani Street
Hilo, HI 96720
Phone (808) 935-3937

Other identifiers 1

IdentifierTypeStateIssuer
075767-01MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD320HIMDOptometrist
320HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Island Vision Center Optometrist PastSince May 1, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871596296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899-A ULULANI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-3937",
            "fax_number": "808-935-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899-A ULULANI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-3937",
            "fax_number": "808-935-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUI",
        "first_name": "CEDRIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075767-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.