Michelle Riego Cabezas, O.D.
Individual provider Active NPI Optometrist · Waipahu, HI
NPI 1902345929 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1902345929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 33623 (CA)
- Practice address
- 94-1231 Ka Uka Blvd
Waipahu, HI 96797 - Phone
- (808) 678-1987
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hawaii Permanente Medical Group Inc
Practice addresses (Care Compare)
94 -1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219003690 | HI | Practitioner - Optometry | 0547604431 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current |
Accepting new patients | |
| DRS Kubo and Sato Optometrists Inc | Optometrist | Current |
Accepting new patients |
| Roger Christian Ede, O.D., Inc. | Optometrist | Past |
Accepting new patients |
Locations
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
333 Keahole St
Bldg A
Honolulu, HI 96825
Phone (808) 394-3318
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
94-1231 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 678-1987
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1003 | HI | |
| Optometrist | 152W00000X | 33623 | CA | Yes |
Addresses
Primary practice location
94-1231 Ka Uka Blvd
Waipahu, HI 96797
Mailing address
94-1035 Lelehu St
Waipahu, HI 96797
Phone (559) 707-6782
Other practice location 1
1145 Sturgis Rd
Clinic D
Twentynine Palms, CA 92278
Phone (760) 830-2458
Other names
- Michelle Riego Mendoza
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.