Individual provider Active NPI

Cheryl C. Niitani, O.D.

  • Optometrist
  • Pearl City, HI
National Provider Identifier
1922134105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-219 Issued in HI
Practice address
850 Kamehameha Hwy
Suite 114
Pearl City, HI 96782-2656
Phone
(808) 455-3333
Fax
(808) 455-5074
NPI assigned
Feb 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-311 HI
Optometrist 152W00000X OD-219 HI Primary

Addresses

Primary practice location

850 Kamehameha Hwy
Suite 114
Pearl City, HI 96782-2656

Mailing address

850 Kamehameha Hwy
Suite 114
Pearl City, HI 96782-2656
Phone (808) 455-3333

Other identifiers 3

IdentifierTypeStateIssuer
J2151-7OtherHIHMSA
57674230121OtherHIUNITED HEALTH ALLIANCE
J7767-5OtherHIHMSA

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
I20050929000667 HI Practitioner - OptometryPractitioner - Ophthalmology 1658261821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson O. Yoshioka, Jr., O.D., Inc.Group PAC ID 9638069891, 3 clinicians

Practice addresses (Care Compare)

850 Kamehameha Hwy
Suite 114
Pearl City, HI 96782-2690
Phone (808) 455-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson O Yoshioka Jr OD Inc Optometrist CurrentSince Jan 29, 2012 Accepting new patients
Nelson O. Yoshioka, Jr., O.D., Inc. Optometrist CurrentSince Jan 1, 1996 Accepting new patients

Locations

1123 11th Ave
Ste 203
Honolulu, HI 96816
Phone (808) 734-7050

850 Kamehameha Hwy
Ste 114
Pearl City, HI 96782
Phone (808) 455-3333

Organizations & group practices 2

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922134105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 114",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-455-3333",
            "fax_number": "808-455-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 114",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-455-3333",
            "fax_number": "808-455-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIITANI",
        "first_name": "CHERYL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-311",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "J2151-7",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH ALLIANCE",
            "identifier": "57674230121",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "J7767-5",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.